Provider Demographics
NPI:1295079499
Name:VALENTINE, CATHARINE C
Entity type:Individual
Prefix:MRS
First Name:CATHARINE
Middle Name:C
Last Name:VALENTINE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1638 RICHLAND AVE W
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29801-3236
Mailing Address - Country:US
Mailing Address - Phone:803-649-3203
Mailing Address - Fax:803-643-9931
Practice Address - Street 1:1638 RICHLAND AVE W
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29801-3236
Practice Address - Country:US
Practice Address - Phone:803-649-3203
Practice Address - Fax:803-643-9931
Is Sole Proprietor?:No
Enumeration Date:2012-11-12
Last Update Date:2012-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6204183500000X
GA17470183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist