Provider Demographics
NPI:1003980913
Name:PRATHER, CATHERINE J (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:J
Last Name:PRATHER
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:662 NEW DELITE RD
Mailing Address - Street 2:
Mailing Address - City:SELMER
Mailing Address - State:TN
Mailing Address - Zip Code:38375-6111
Mailing Address - Country:US
Mailing Address - Phone:731-439-4573
Mailing Address - Fax:731-632-3279
Practice Address - Street 1:712 E MAIN ST
Practice Address - Street 2:
Practice Address - City:ADAMSVILLE
Practice Address - State:TN
Practice Address - Zip Code:38310-2458
Practice Address - Country:US
Practice Address - Phone:731-632-3278
Practice Address - Fax:731-632-3279
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2012-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS09258183500000X
TN8878183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist