Provider Demographics
NPI:1356488779
Name:MCCARTHY, KATHERINE LYNNE (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:LYNNE
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:DR
Other - First Name:KATHY
Other - Middle Name:
Other - Last Name:MCCARTHY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARM D
Mailing Address - Street 1:4361 GIRD AVE
Mailing Address - Street 2:
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709-3065
Mailing Address - Country:US
Mailing Address - Phone:909-597-7363
Mailing Address - Fax:
Practice Address - Street 1:18525 YORBA LINDA BLVD
Practice Address - Street 2:
Practice Address - City:YORBA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92886-4135
Practice Address - Country:US
Practice Address - Phone:714-777-2737
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41031183500000X
NV09479183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist