Provider Demographics
NPI:1841894664
Name:CATHELL, CARL M (PHARMACIST)
Entity type:Individual
Prefix:
First Name:CARL
Middle Name:M
Last Name:CATHELL
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 N 3RD ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21550-1322
Mailing Address - Country:US
Mailing Address - Phone:301-334-2197
Mailing Address - Fax:301-334-2246
Practice Address - Street 1:20 N 3RD ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:MD
Practice Address - Zip Code:21550-1322
Practice Address - Country:US
Practice Address - Phone:301-334-2197
Practice Address - Fax:301-334-2246
Is Sole Proprietor?:No
Enumeration Date:2020-11-23
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD008274183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist