Provider Demographics
NPI:1144699208
Name:DUNCAN, CATHRYN RAE (PHARM D, RPH)
Entity type:Individual
Prefix:
First Name:CATHRYN
Middle Name:RAE
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:PHARM D, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 MCHENRY AVE.
Mailing Address - Street 2:#202
Mailing Address - City:ESCALON
Mailing Address - State:CA
Mailing Address - Zip Code:95320
Mailing Address - Country:US
Mailing Address - Phone:209-838-0511
Mailing Address - Fax:209-838-0611
Practice Address - Street 1:1900 MCHENRY AVE.
Practice Address - Street 2:#202
Practice Address - City:ESCALON
Practice Address - State:CA
Practice Address - Zip Code:95320
Practice Address - Country:US
Practice Address - Phone:209-838-0511
Practice Address - Fax:209-838-0611
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-18
Last Update Date:2015-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA55470183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist