Provider Demographics
NPI:1013236918
Name:AYRES, JOHN FRANK (PHARMD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:FRANK
Last Name:AYRES
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1113 MOTHER LODE CT
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:CA
Mailing Address - Zip Code:95603-5840
Mailing Address - Country:US
Mailing Address - Phone:530-885-9130
Mailing Address - Fax:530-885-9130
Practice Address - Street 1:2805 BELL RD
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95603-2539
Practice Address - Country:US
Practice Address - Phone:530-823-8125
Practice Address - Fax:530-823-8179
Is Sole Proprietor?:No
Enumeration Date:2010-05-18
Last Update Date:2013-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 27328183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist