Provider Demographics
NPI:1699168997
Name:SIEGFRIED, CATHY (RPH)
Entity type:Individual
Prefix:
First Name:CATHY
Middle Name:
Last Name:SIEGFRIED
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 1:116 SUMMER HILL RD
Mailing Address - Street 2:
Mailing Address - City:BERNVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19506-8948
Mailing Address - Country:US
Mailing Address - Phone:484-336-7747
Mailing Address - Fax:
Practice Address - Street 1:525 PENN AVE
Practice Address - Street 2:
Practice Address - City:WEST READING
Practice Address - State:PA
Practice Address - Zip Code:19611-1080
Practice Address - Country:US
Practice Address - Phone:610-373-5241
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-11
Last Update Date:2015-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARPI009516183500000X
PARP031165L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist