Provider Demographics
NPI:1003516105
Name:HABER, CATHRYN ANNE (RPH)
Entity Type:Individual
Prefix:
First Name:CATHRYN
Middle Name:ANNE
Last Name:HABER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 240
Mailing Address - Street 2:
Mailing Address - City:TRESCKOW
Mailing Address - State:PA
Mailing Address - Zip Code:18254-0240
Mailing Address - Country:US
Mailing Address - Phone:570-578-5613
Mailing Address - Fax:570-453-0771
Practice Address - Street 1:52 EAST MARKET STREET
Practice Address - Street 2:
Practice Address - City:TRESCKOW
Practice Address - State:PA
Practice Address - Zip Code:18254-1825
Practice Address - Country:US
Practice Address - Phone:570-578-5613
Practice Address - Fax:570-578-5613
Is Sole Proprietor?:No
Enumeration Date:2023-03-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP036707L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist