Provider Demographics
NPI:1194956722
Name:ZRADA, CATHERINE PORTER (RPH)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:PORTER
Last Name:ZRADA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 ROCKHILL DR
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-1628
Mailing Address - Country:US
Mailing Address - Phone:215-364-9630
Mailing Address - Fax:
Practice Address - Street 1:800 ROCKHILL DR
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-1628
Practice Address - Country:US
Practice Address - Phone:215-364-9630
Practice Address - Fax:215-699-7767
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-30
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI01755600183500000X
PARP033106L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist