Provider Demographics
NPI:1609859644
Name:CATHER, CHARLES P (RPH, PHARM D)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:P
Last Name:CATHER
Suffix:
Gender:M
Credentials:RPH, PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9436 BROADLAND ST NW
Mailing Address - Street 2:
Mailing Address - City:MASSILLON
Mailing Address - State:OH
Mailing Address - Zip Code:44646-9109
Mailing Address - Country:US
Mailing Address - Phone:330-705-8373
Mailing Address - Fax:
Practice Address - Street 1:360 WABASH AVE N
Practice Address - Street 2:
Practice Address - City:BREWSTER
Practice Address - State:OH
Practice Address - Zip Code:44613-1042
Practice Address - Country:US
Practice Address - Phone:330-767-3436
Practice Address - Fax:330-767-3090
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-23
Last Update Date:2016-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-3-26599183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist