Provider Demographics
NPI:1588794580
Name:CUTRELL, ANN L (RPH)
Entity type:Individual
Prefix:MRS
First Name:ANN
Middle Name:L
Last Name:CUTRELL
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 1:112 RAMPART LN
Mailing Address - Street 2:
Mailing Address - City:LIGONIER
Mailing Address - State:PA
Mailing Address - Zip Code:15658-8788
Mailing Address - Country:US
Mailing Address - Phone:724-238-2851
Mailing Address - Fax:
Practice Address - Street 1:112 RAMPART LN
Practice Address - Street 2:
Practice Address - City:LIGONIER
Practice Address - State:PA
Practice Address - Zip Code:15658-8788
Practice Address - Country:US
Practice Address - Phone:724-238-2851
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP031840L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist