Provider Demographics
NPI:1376823831
Name:SKULA, CAITLIN M (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CAITLIN
Middle Name:M
Last Name:SKULA
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 1:101 GREEN RIDGE ST
Mailing Address - Street 2:
Mailing Address - City:SCRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:18509-1809
Mailing Address - Country:US
Mailing Address - Phone:570-955-4913
Mailing Address - Fax:570-955-4919
Practice Address - Street 1:101 GREEN RIDGE ST
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18509-1809
Practice Address - Country:US
Practice Address - Phone:570-955-4913
Practice Address - Fax:570-955-4919
Is Sole Proprietor?:No
Enumeration Date:2011-08-27
Last Update Date:2011-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP439874183500000X
AZ14689183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist