Basic Information
| Provider Information | |||||||||
| NPI: | 1730399676 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CATES | ||||||||
| FirstName: | MARSHALL | ||||||||
| MiddleName: | EUGENE | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PHARM.D., BCPP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1243 WOODLANDS WAY | ||||||||
| Address2: | |||||||||
| City: | HELENA | ||||||||
| State: | AL | ||||||||
| PostalCode: | 350803461 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2054266116 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 800 LAKESHORE DR | ||||||||
| Address2: | |||||||||
| City: | BIRMINGHAM | ||||||||
| State: | AL | ||||||||
| PostalCode: | 352290001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2057262457 | ||||||||
| FaxNumber: | 2057262669 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/22/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1835P1300X | 13044 | AL | Y | Pharmacy Service Providers | Pharmacist | Psychiatric |
No ID Information.