Provider Demographics
NPI:1396226676
Name:WEBB, CATHERINE AMANDA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:AMANDA
Last Name:WEBB
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 1:202 S COURT ST
Mailing Address - Street 2:
Mailing Address - City:SCOTTSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42164-1263
Mailing Address - Country:US
Mailing Address - Phone:270-237-5402
Mailing Address - Fax:270-237-4305
Practice Address - Street 1:202 S COURT ST
Practice Address - Street 2:
Practice Address - City:SCOTTSVILLE
Practice Address - State:KY
Practice Address - Zip Code:42164-1263
Practice Address - Country:US
Practice Address - Phone:270-237-5402
Practice Address - Fax:270-237-4305
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-24
Last Update Date:2018-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY016056183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist