Provider Demographics
NPI:1487839155
Name:FRAZER, CATHERINE LAURA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:LAURA
Last Name:FRAZER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:KATE
Other - Middle Name:
Other - Last Name:FRAZER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:4920 CAMPBELL BLVD
Mailing Address - Street 2:
Mailing Address - City:NOTTINGHAM
Mailing Address - State:MD
Mailing Address - Zip Code:21236-5916
Mailing Address - Country:US
Mailing Address - Phone:410-933-7661
Mailing Address - Fax:410-933-7669
Practice Address - Street 1:4920 CAMPBELL BLVD
Practice Address - Street 2:
Practice Address - City:NOTTINGHAM
Practice Address - State:MD
Practice Address - Zip Code:21236-5916
Practice Address - Country:US
Practice Address - Phone:410-933-7661
Practice Address - Fax:410-933-7669
Is Sole Proprietor?:No
Enumeration Date:2007-12-31
Last Update Date:2007-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD13289183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist