Provider Demographics
NPI:1801174156
Name:STANLEY, CATHALEAH PIMSAKUL (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CATHALEAH
Middle Name:PIMSAKUL
Last Name:STANLEY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1776 N MERIDIAN ST
Mailing Address - Street 2:SUITE 100A
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-1468
Mailing Address - Country:US
Mailing Address - Phone:317-963-3295
Mailing Address - Fax:317-962-2030
Practice Address - Street 1:1776 N MERIDIAN ST
Practice Address - Street 2:SUITE 100A
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-1468
Practice Address - Country:US
Practice Address - Phone:317-963-3295
Practice Address - Fax:317-962-2030
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-03
Last Update Date:2011-08-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN26023845A1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist