Provider Demographics
NPI:1891277828
Name:EALY, CATHERINE E (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:E
Last Name:EALY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MS
Other - First Name:CATHERINE
Other - Middle Name:E
Other - Last Name:VAN CLEVE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:305 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CLAYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15323-3300
Mailing Address - Country:US
Mailing Address - Phone:724-663-7707
Mailing Address - Fax:724-663-5994
Practice Address - Street 1:305 MAIN ST
Practice Address - Street 2:
Practice Address - City:CLAYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15323-3300
Practice Address - Country:US
Practice Address - Phone:724-663-7707
Practice Address - Fax:724-663-5994
Is Sole Proprietor?:No
Enumeration Date:2018-09-06
Last Update Date:2018-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP449825183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist