Provider Demographics
NPI:1922397330
Name:CATALUTCH, WILLIAM ANTHONY JR (RPH)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:ANTHONY
Last Name:CATALUTCH
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
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Mailing Address - Street 1:4609 TALLEY HILL LN
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19803-4815
Mailing Address - Country:US
Mailing Address - Phone:302-764-1155
Mailing Address - Fax:302-764-1155
Practice Address - Street 1:1698 PULASKI HWY
Practice Address - Street 2:
Practice Address - City:BEAR
Practice Address - State:DE
Practice Address - Zip Code:19701-1452
Practice Address - Country:US
Practice Address - Phone:302-836-1004
Practice Address - Fax:302-836-1754
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-06
Last Update Date:2011-04-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
DEA1-0002179183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist