Provider Demographics
NPI:1114599016
Name:SINON, KATHERINE LYN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:LYN
Last Name:SINON
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 1:2200 POWELL ST STE 800
Mailing Address - Street 2:
Mailing Address - City:EMERYVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94608-2254
Mailing Address - Country:US
Mailing Address - Phone:833-656-1055
Mailing Address - Fax:
Practice Address - Street 1:2200 POWELL ST STE 800
Practice Address - Street 2:
Practice Address - City:EMERYVILLE
Practice Address - State:CA
Practice Address - Zip Code:94608-2254
Practice Address - Country:US
Practice Address - Phone:833-656-1055
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-12
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA54508183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist