Provider Demographics
NPI:1255760377
Name:CATTANEO, CHERYL (PHARMD)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:
Last Name:CATTANEO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:824 ROGERS WAY
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59718-2660
Mailing Address - Country:US
Mailing Address - Phone:406-529-4738
Mailing Address - Fax:
Practice Address - Street 1:824 ROGERS WAY
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59718-2660
Practice Address - Country:US
Practice Address - Phone:406-529-4738
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-08
Last Update Date:2013-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT6261183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT6261OtherLICENSE