Healthcare Provider Details

I. General information

NPI: 1508776501
Provider Name (Legal Business Name): CATHERINE OWEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33300 CLEVELAND CLINIC BLVD
AVON OH
44011-1172
US

IV. Provider business mailing address

508 WOODLAND DR
ROSSFORD OH
43460-1556
US

V. Phone/Fax

Practice location:
  • Phone: 440-695-5280
  • Fax:
Mailing address:
  • Phone: 419-690-2154
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number1749401
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: