Provider Demographics
NPI:1942412176
Name:CATHCART, BONNIE C (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:BONNIE
Middle Name:C
Last Name:CATHCART
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MS
Other - First Name:BONNIE
Other - Middle Name:C
Other - Last Name:JANES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:3321 E TONTO DR
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85298-9196
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:51 W 3RD ST
Practice Address - Street 2:SUITE 501
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85281-2831
Practice Address - Country:US
Practice Address - Phone:480-317-6780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2007-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ13343183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist