Provider Demographics
NPI:1457631376
Name:REICHMUTH, CATRICE MARIE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CATRICE
Middle Name:MARIE
Last Name:REICHMUTH
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 1:7500 TERRY RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40258-2642
Mailing Address - Country:US
Mailing Address - Phone:502-935-6230
Mailing Address - Fax:
Practice Address - Street 1:7500 TERRY RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40258-2642
Practice Address - Country:US
Practice Address - Phone:502-935-6230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-23
Last Update Date:2011-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY15593183500000X
IN26024293A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist