Provider Demographics
NPI:1336736826
Name:HENDRY, CATHY JO (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CATHY
Middle Name:JO
Last Name:HENDRY
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 1:1701 TYLER AVE
Mailing Address - Street 2:
Mailing Address - City:RADFORD
Mailing Address - State:VA
Mailing Address - Zip Code:24141-5006
Mailing Address - Country:US
Mailing Address - Phone:540-744-3377
Mailing Address - Fax:540-744-3379
Practice Address - Street 1:1701 TYLER AVE
Practice Address - Street 2:
Practice Address - City:RADFORD
Practice Address - State:VA
Practice Address - Zip Code:24141-5006
Practice Address - Country:US
Practice Address - Phone:540-744-3377
Practice Address - Fax:540-744-3379
Is Sole Proprietor?:No
Enumeration Date:2020-12-30
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202206637183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist