Provider Demographics
NPI:1528368347
Name:CHAPMAN, CATHERINE L
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:L
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:660 E LOS ANGELES AVE
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-1873
Mailing Address - Country:US
Mailing Address - Phone:805-526-7673
Mailing Address - Fax:805-522-7217
Practice Address - Street 1:660 E LOS ANGELES AVE
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-1873
Practice Address - Country:US
Practice Address - Phone:805-526-7673
Practice Address - Fax:805-522-7217
Is Sole Proprietor?:No
Enumeration Date:2010-10-26
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH39000183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist