Provider Demographics
NPI:1083892251
Name:PAGLIARA, CATHY (RPH)
Entity Type:Individual
Prefix:MRS
First Name:CATHY
Middle Name:
Last Name:PAGLIARA
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 1:78 HEMPSTEAD DR
Mailing Address - Street 2:
Mailing Address - City:SOUND BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11789-3130
Mailing Address - Country:US
Mailing Address - Phone:631-849-4881
Mailing Address - Fax:
Practice Address - Street 1:4054 NESCONSET HWY
Practice Address - Street 2:
Practice Address - City:SETAUKET
Practice Address - State:NY
Practice Address - Zip Code:11733-3306
Practice Address - Country:US
Practice Address - Phone:631-476-1586
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-09
Last Update Date:2008-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY048534-1183500000X
MA24097183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist