Provider Demographics
NPI:1982896684
Name:LEWIS, CATHERINE D (PHARMD, CACP)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:D
Last Name:LEWIS
Suffix:
Gender:F
Credentials:PHARMD, CACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MEDICAL CENTER DRIVE
Mailing Address - Street 2:PO BOX 8045
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26506-8045
Mailing Address - Country:US
Mailing Address - Phone:304-598-4015
Mailing Address - Fax:304-598-4925
Practice Address - Street 1:WEST VIRGINIA UNIVERSITY HOSPITALS
Practice Address - Street 2:MEDICAL CENTER DRIVE - PHARMACEUTICAL SERVICES
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26506-8045
Practice Address - Country:US
Practice Address - Phone:304-598-4015
Practice Address - Fax:304-598-4925
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-16
Last Update Date:2007-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0006464183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist