Provider Demographics
NPI:1942591987
Name:STOUDT, CATHERINE ANN (RPH)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:ANN
Last Name:STOUDT
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:ANN
Other - Last Name:SWITAY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:167 STEEPLE DR
Mailing Address - Street 2:
Mailing Address - City:ROBESONIA
Mailing Address - State:PA
Mailing Address - Zip Code:19551-9554
Mailing Address - Country:US
Mailing Address - Phone:610-693-8725
Mailing Address - Fax:
Practice Address - Street 1:420 N 3RD ST
Practice Address - Street 2:
Practice Address - City:WOMELSDORF
Practice Address - State:PA
Practice Address - Zip Code:19567-9705
Practice Address - Country:US
Practice Address - Phone:610-589-4186
Practice Address - Fax:610-589-2996
Is Sole Proprietor?:No
Enumeration Date:2011-04-25
Last Update Date:2011-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP034293L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist