Provider Demographics
NPI:1770844722
Name:RICHMOND, CATHLENE (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:CATHLENE
Middle Name:
Last Name:RICHMOND
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1024 TEVLIN ST
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:CA
Mailing Address - Zip Code:94706-2430
Mailing Address - Country:US
Mailing Address - Phone:510-527-7021
Mailing Address - Fax:
Practice Address - Street 1:1800 HARRISON ST FL 13
Practice Address - Street 2:DRUG INFORMATION SERVICES, KAISER PERMANENTE
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94612-3466
Practice Address - Country:US
Practice Address - Phone:510-625-2448
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-06
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA430711835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy