Healthcare Provider Details

I. General information

NPI: 1093187700
Provider Name (Legal Business Name): KATHARINA CAHILL PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/21/2015
Last Update Date: 12/28/2022
Certification Date: 12/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 S MAIN ST
WATERBURY VT
05676-1553
US

IV. Provider business mailing address

40 COURT ST
MIDDLEBURY VT
05753-4449
US

V. Phone/Fax

Practice location:
  • Phone: 802-244-8458
  • Fax: 28-244-1882
Mailing address:
  • Phone: 802-388-0973
  • Fax: 802-388-4105

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number033.0112213
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: