Provider Demographics
NPI:1124356464
Name:RILEY, CATHERINE WANG (PHARMD)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:WANG
Last Name:RILEY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11707 HUEBNER RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-1205
Mailing Address - Country:US
Mailing Address - Phone:210-558-7138
Mailing Address - Fax:210-558-4985
Practice Address - Street 1:11707 HUEBNER RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-1205
Practice Address - Country:US
Practice Address - Phone:210-558-7138
Practice Address - Fax:210-558-4985
Is Sole Proprietor?:No
Enumeration Date:2009-11-25
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX47675183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist