Provider Demographics
NPI:1215274170
Name:PARTRIDGE, CATHY ANN (RPH)
Entity type:Individual
Prefix:
First Name:CATHY
Middle Name:ANN
Last Name:PARTRIDGE
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 1:2481 DEL PRADO BLVD N
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33909-4002
Mailing Address - Country:US
Mailing Address - Phone:239-573-1832
Mailing Address - Fax:239-573-6304
Practice Address - Street 1:2481 DEL PRADO BLVD N
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33909-4002
Practice Address - Country:US
Practice Address - Phone:239-573-1832
Practice Address - Fax:239-573-6304
Is Sole Proprietor?:No
Enumeration Date:2013-01-12
Last Update Date:2013-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS46098183500000X
PARP041003L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist