Provider Demographics
NPI:1306014824
Name:FRANCISCO, CATHY NICHOLS (RPH)
Entity Type:Individual
Prefix:MR
First Name:CATHY
Middle Name:NICHOLS
Last Name:FRANCISCO
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:PO BOX 439
Mailing Address - Street 2:
Mailing Address - City:ELKHORN CITY
Mailing Address - State:KY
Mailing Address - Zip Code:41522-0439
Mailing Address - Country:US
Mailing Address - Phone:606-754-5076
Mailing Address - Fax:606-754-5557
Practice Address - Street 1:220 ELKHORN STREET
Practice Address - Street 2:
Practice Address - City:ELKHORN CITY
Practice Address - State:KY
Practice Address - Zip Code:41522-0439
Practice Address - Country:US
Practice Address - Phone:606-754-5076
Practice Address - Fax:606-754-5557
Is Sole Proprietor?:No
Enumeration Date:2008-02-19
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY8206183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist