Provider Demographics
NPI:1730307547
Name:MILLER, CATHERINE ANN (PHARMD, CPP)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:ANN
Last Name:MILLER
Suffix:
Gender:F
Credentials:PHARMD, CPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3806 DURNESS WAY
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27455-3364
Mailing Address - Country:US
Mailing Address - Phone:336-545-6904
Mailing Address - Fax:336-545-6501
Practice Address - Street 1:2007 YANCEYVILLE ST
Practice Address - Street 2:BOX 54
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27405-5000
Practice Address - Country:US
Practice Address - Phone:336-235-0636
Practice Address - Fax:336-545-6501
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC130981835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCMM1113276OtherDEA NUMBER