Provider Demographics
NPI:1528333291
Name:CATHEY, JOEL DWAIN (PHARM D)
Entity type:Individual
Prefix:MR
First Name:JOEL
Middle Name:DWAIN
Last Name:CATHEY
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:366 S PALM CANYON DR
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262-7302
Mailing Address - Country:US
Mailing Address - Phone:760-325-2326
Mailing Address - Fax:760-320-2509
Practice Address - Street 1:366 S PALM CANYON DR
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-7302
Practice Address - Country:US
Practice Address - Phone:760-325-2326
Practice Address - Fax:760-320-2509
Is Sole Proprietor?:No
Enumeration Date:2012-03-14
Last Update Date:2012-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA64499183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist