Provider Demographics
NPI:1497876197
Name:SOTTO, EFREN RAMIREZ (RPH)
Entity Type:Individual
Prefix:MR
First Name:EFREN
Middle Name:RAMIREZ
Last Name:SOTTO
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1640 MONTE VISTA ST
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91106-1310
Mailing Address - Country:US
Mailing Address - Phone:626-354-9087
Mailing Address - Fax:
Practice Address - Street 1:1101 N. PACIFIC AVENUE
Practice Address - Street 2:PACIFIC MEDICAL PHARMACY
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91202
Practice Address - Country:US
Practice Address - Phone:818-548-1330
Practice Address - Fax:818-548-3590
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH44474183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist