Provider Demographics
NPI:1700168887
Name:CATERA, JOSEPH JOHN (PHARMD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:JOHN
Last Name:CATERA
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3248 E BAY DR
Mailing Address - Street 2:WALGREENS
Mailing Address - City:HOLMES BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:34217-2044
Mailing Address - Country:US
Mailing Address - Phone:941-778-0451
Mailing Address - Fax:
Practice Address - Street 1:3248 E BAY DR
Practice Address - Street 2:WALGREENS
Practice Address - City:HOLMES BEACH
Practice Address - State:FL
Practice Address - Zip Code:34217-2044
Practice Address - Country:US
Practice Address - Phone:941-778-0451
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-14
Last Update Date:2011-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS40569183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist