Provider Demographics
NPI:1376878660
Name:BARRAMEDA, CATHERINE SICO (RPH)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:SICO
Last Name:BARRAMEDA
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 1:16750 W BELL RD
Mailing Address - Street 2:SURPRISE
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85374-9539
Mailing Address - Country:US
Mailing Address - Phone:623-546-8246
Mailing Address - Fax:
Practice Address - Street 1:16750 W BELL RD
Practice Address - Street 2:SURPRISE
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-9539
Practice Address - Country:US
Practice Address - Phone:623-546-8246
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-05
Last Update Date:2013-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS0157981835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist