Healthcare Provider Details

I. General information

NPI: 1942591987
Provider Name (Legal Business Name): CATHERINE ANN STOUDT RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CATHERINE ANN SWITAY RPH

II. Dates (important events)

Enumeration Date: 04/25/2011
Last Update Date: 04/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 N 3RD ST
WOMELSDORF PA
19567-9705
US

IV. Provider business mailing address

167 STEEPLE DR
ROBESONIA PA
19551-9554
US

V. Phone/Fax

Practice location:
  • Phone: 610-589-4186
  • Fax: 610-589-2996
Mailing address:
  • Phone: 610-693-8725
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP034293L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: