Provider Demographics
NPI:1609759984
Name:CHRISTOPHERSON, CATHERINE RUTH (PHARMD)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:RUTH
Last Name:CHRISTOPHERSON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4888 BRASSICA RD APT 215
Mailing Address - Street 2:
Mailing Address - City:FITCHBURG
Mailing Address - State:WI
Mailing Address - Zip Code:53711-8800
Mailing Address - Country:US
Mailing Address - Phone:402-670-3873
Mailing Address - Fax:
Practice Address - Street 1:4888 BRASSICA RD APT 215
Practice Address - Street 2:
Practice Address - City:FITCHBURG
Practice Address - State:WI
Practice Address - Zip Code:53711-8800
Practice Address - Country:US
Practice Address - Phone:402-670-3873
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-25
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2307440183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist