Provider Demographics
NPI:1447305347
Name:KNOX, CATHY ANN (RPH)
Entity type:Individual
Prefix:MRS
First Name:CATHY
Middle Name:ANN
Last Name:KNOX
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 1:2532 WICKER AVE
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:IN
Mailing Address - Zip Code:46322-1843
Mailing Address - Country:US
Mailing Address - Phone:219-838-7951
Mailing Address - Fax:219-983-1667
Practice Address - Street 1:2022 KELLE DR
Practice Address - Street 2:
Practice Address - City:CHESTERTON
Practice Address - State:IN
Practice Address - Zip Code:46304-8708
Practice Address - Country:US
Practice Address - Phone:219-395-8100
Practice Address - Fax:219-983-1667
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26013576A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist