Provider Demographics
NPI:1902196942
Name:RAYMOND, KATHERINE ANN (PHARM D)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:ANN
Last Name:RAYMOND
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:
Other - Last Name:RAYMOND
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARM D
Mailing Address - Street 1:49060 ROAD 426
Mailing Address - Street 2:
Mailing Address - City:OAKHURST
Mailing Address - State:CA
Mailing Address - Zip Code:93644-8546
Mailing Address - Country:US
Mailing Address - Phone:559-683-8882
Mailing Address - Fax:559-683-8854
Practice Address - Street 1:49060 ROAD 426
Practice Address - Street 2:
Practice Address - City:OAKHURST
Practice Address - State:CA
Practice Address - Zip Code:93644-8546
Practice Address - Country:US
Practice Address - Phone:559-683-8882
Practice Address - Fax:559-683-8854
Is Sole Proprietor?:No
Enumeration Date:2011-04-11
Last Update Date:2011-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA048766183500000X
NV13669183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist