Provider Demographics
NPI:1336434190
Name:GARCIA-O'MALLEY, CATHERINE M (RPH)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:M
Last Name:GARCIA-O'MALLEY
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 1:41 ROBERT DR
Mailing Address - Street 2:2267
Mailing Address - City:SOUTH EASTON
Mailing Address - State:MA
Mailing Address - Zip Code:02375-1352
Mailing Address - Country:US
Mailing Address - Phone:508-230-0006
Mailing Address - Fax:508-230-0045
Practice Address - Street 1:41 ROBERT DR
Practice Address - Street 2:2267
Practice Address - City:SOUTH EASTON
Practice Address - State:MA
Practice Address - Zip Code:02375-1352
Practice Address - Country:US
Practice Address - Phone:508-230-0006
Practice Address - Fax:508-230-0045
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-09
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA21779183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist