Provider Demographics
NPI:1679859706
Name:RICH, CATHERINE BROOKE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:BROOKE
Last Name:RICH
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 1:401 E KING ST
Mailing Address - Street 2:
Mailing Address - City:EDENTON
Mailing Address - State:NC
Mailing Address - Zip Code:27932-2021
Mailing Address - Country:US
Mailing Address - Phone:252-339-8367
Mailing Address - Fax:
Practice Address - Street 1:717 N BROAD ST
Practice Address - Street 2:
Practice Address - City:EDENTON
Practice Address - State:NC
Practice Address - Zip Code:27932-1430
Practice Address - Country:US
Practice Address - Phone:252-482-0194
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-03
Last Update Date:2011-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC21836183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist