Provider Demographics
NPI:1801563184
Name:GUERIN, CAITLIN MARIE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CAITLIN
Middle Name:MARIE
Last Name:GUERIN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:CAITLIN
Other - Middle Name:MARIE
Other - Last Name:SINCLAIR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6423 CAMARGO LEVEE RD
Mailing Address - Street 2:
Mailing Address - City:JEFFERSONVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40337-9340
Mailing Address - Country:US
Mailing Address - Phone:859-753-5316
Mailing Address - Fax:
Practice Address - Street 1:222 MEDICAL CIR
Practice Address - Street 2:
Practice Address - City:MOREHEAD
Practice Address - State:KY
Practice Address - Zip Code:40351-1179
Practice Address - Country:US
Practice Address - Phone:606-783-6741
Practice Address - Fax:859-783-6693
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-25
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY018564183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist