Provider Demographics
NPI:1568999522
Name:AYRAN, CATHERINE (RPH, PHARMD)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:AYRAN
Suffix:
Gender:F
Credentials:RPH, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 GLENWOOD CIR APT 18D
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-6734
Mailing Address - Country:US
Mailing Address - Phone:508-221-4921
Mailing Address - Fax:
Practice Address - Street 1:133 GENERAL STILWELL DR
Practice Address - Street 2:
Practice Address - City:MARINA
Practice Address - State:CA
Practice Address - Zip Code:93933-6242
Practice Address - Country:US
Practice Address - Phone:831-883-5721
Practice Address - Fax:831-883-5731
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-20
Last Update Date:2019-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA74491183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist