Provider Demographics
NPI:1295026854
Name:AU, CATHY LY (PHARMD)
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:LY
Last Name:AU
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 1:5 SHREWSBURY ST
Mailing Address - Street 2:
Mailing Address - City:HOLDEN
Mailing Address - State:MA
Mailing Address - Zip Code:01520-1842
Mailing Address - Country:US
Mailing Address - Phone:508-829-6504
Mailing Address - Fax:508-829-7890
Practice Address - Street 1:5 SHREWSBURY ST
Practice Address - Street 2:
Practice Address - City:HOLDEN
Practice Address - State:MA
Practice Address - Zip Code:01520-1842
Practice Address - Country:US
Practice Address - Phone:508-829-6504
Practice Address - Fax:508-829-7890
Is Sole Proprietor?:No
Enumeration Date:2011-04-29
Last Update Date:2011-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH232512183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist