Provider Demographics
NPI:1295349009
Name:HARTMAN, CAITLIN ELIZABETH (PHARMD)
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:ELIZABETH
Last Name:HARTMAN
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 1:10851 STATE HIGHWAY 198
Mailing Address - Street 2:
Mailing Address - City:GUYS MILLS
Mailing Address - State:PA
Mailing Address - Zip Code:16327-5203
Mailing Address - Country:US
Mailing Address - Phone:814-720-9743
Mailing Address - Fax:
Practice Address - Street 1:163 W 26TH ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16508-1803
Practice Address - Country:US
Practice Address - Phone:814-452-4012
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-31
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP454932183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist