Provider Demographics
NPI:1225025232
Name:CATE PHARMACY INC
Entity Type:Organization
Organization Name:CATE PHARMACY INC
Other - Org Name:CATE PHARMACY INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT PHCST
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:CATE
Authorized Official - Suffix:
Authorized Official - Credentials:PD
Authorized Official - Phone:870-857-6766
Mailing Address - Street 1:500 N MISSOURI AVE
Mailing Address - Street 2:
Mailing Address - City:CORNING
Mailing Address - State:AR
Mailing Address - Zip Code:72422-1616
Mailing Address - Country:US
Mailing Address - Phone:870-857-6766
Mailing Address - Fax:870-857-3391
Practice Address - Street 1:500 N MISSOURI AVE
Practice Address - Street 2:
Practice Address - City:CORNING
Practice Address - State:AR
Practice Address - Zip Code:72422-1616
Practice Address - Country:US
Practice Address - Phone:870-857-6766
Practice Address - Fax:870-857-3391
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-04
Last Update Date:2019-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336L0003X
ARAR068963336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1993599OtherPK
MO601918006Medicaid
AR100567407Medicaid
1058290001Medicare NSC