Provider Demographics
NPI:1740596865
Name:LOOSIER, CATHERINE SHERRILL (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:SHERRILL
Last Name:LOOSIER
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 1:101 SOUTH UNION STREET
Mailing Address - Street 2:SEIB WELLNESS CENTER
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36104
Mailing Address - Country:US
Mailing Address - Phone:334-263-8464
Mailing Address - Fax:
Practice Address - Street 1:101 SOUTH UNION STREET
Practice Address - Street 2:SEIB WELLNESS CENTER
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36104
Practice Address - Country:US
Practice Address - Phone:334-263-8464
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-26
Last Update Date:2010-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC19042183500000X
AL158321835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist