Provider Demographics
NPI:1063640373
Name:VANWHY, KATHERINE M (RPH)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:M
Last Name:VANWHY
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 1:191 DUTCH NECK RD
Mailing Address - Street 2:
Mailing Address - City:EAST WINDSOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08520-2716
Mailing Address - Country:US
Mailing Address - Phone:609-448-1210
Mailing Address - Fax:609-448-3755
Practice Address - Street 1:191 DUTCH NECK RD
Practice Address - Street 2:
Practice Address - City:EAST WINDSOR
Practice Address - State:NJ
Practice Address - Zip Code:08520-2716
Practice Address - Country:US
Practice Address - Phone:609-448-1210
Practice Address - Fax:609-448-3755
Is Sole Proprietor?:No
Enumeration Date:2009-06-25
Last Update Date:2009-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02096000183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist