Provider Demographics
NPI:1073709200
Name:MCGUIRE, CATHERINE (RPH)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:MCGUIRE
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 1:27008 92ND AVE NW
Mailing Address - Street 2:
Mailing Address - City:STANWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98292-5343
Mailing Address - Country:US
Mailing Address - Phone:360-629-0662
Mailing Address - Fax:
Practice Address - Street 1:27008 92ND AVE NW
Practice Address - Street 2:
Practice Address - City:STANWOOD
Practice Address - State:WA
Practice Address - Zip Code:98292-5343
Practice Address - Country:US
Practice Address - Phone:360-629-0662
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-20
Last Update Date:2007-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00060933183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist