Provider Demographics
NPI:1194010306
Name:RATKEVICH, KARI (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KARI
Middle Name:
Last Name:RATKEVICH
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 1:115 TECHNOLOGY DR
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-2408
Mailing Address - Country:US
Mailing Address - Phone:949-453-9733
Mailing Address - Fax:949-453-9743
Practice Address - Street 1:115 TECHNOLOGY DR
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-2408
Practice Address - Country:US
Practice Address - Phone:949-453-9733
Practice Address - Fax:949-453-9743
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-15
Last Update Date:2023-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH43485183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist