Provider Demographics
NPI:1811302219
Name:TULL, CATRINA HAIRSTON (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CATRINA
Middle Name:HAIRSTON
Last Name:TULL
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 1:121 W ELMSLEY ST
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27406-8276
Mailing Address - Country:US
Mailing Address - Phone:336-370-0353
Mailing Address - Fax:336-370-0393
Practice Address - Street 1:121 W ELMSLEY ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27406-8276
Practice Address - Country:US
Practice Address - Phone:336-370-0353
Practice Address - Fax:336-370-0393
Is Sole Proprietor?:No
Enumeration Date:2014-06-24
Last Update Date:2015-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC23817183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist