Provider Demographics
NPI:1861861643
Name:COCHRAN, CATHERINE (RPH)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:
Last Name:COCHRAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1026 S CHALLIS ST
Mailing Address - Street 2:
Mailing Address - City:SALMON
Mailing Address - State:ID
Mailing Address - Zip Code:83467-5441
Mailing Address - Country:US
Mailing Address - Phone:208-742-1285
Mailing Address - Fax:208-742-1283
Practice Address - Street 1:1026 S CHALLIS ST
Practice Address - Street 2:
Practice Address - City:SALMON
Practice Address - State:ID
Practice Address - Zip Code:83467-5441
Practice Address - Country:US
Practice Address - Phone:208-742-1285
Practice Address - Fax:208-742-1283
Is Sole Proprietor?:No
Enumeration Date:2015-09-22
Last Update Date:2015-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDP4144183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist