Provider Demographics
NPI:1154928299
Name:CARAS, KATHERINE LING (RPH)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:LING
Last Name:CARAS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:927 S CHINA LAKE BLVD
Mailing Address - Street 2:
Mailing Address - City:RIDGECREST
Mailing Address - State:CA
Mailing Address - Zip Code:93555-6315
Mailing Address - Country:US
Mailing Address - Phone:760-384-4020
Mailing Address - Fax:760-384-1456
Practice Address - Street 1:927 S CHINA LAKE BLVD
Practice Address - Street 2:
Practice Address - City:RIDGECREST
Practice Address - State:CA
Practice Address - Zip Code:93555-6315
Practice Address - Country:US
Practice Address - Phone:760-384-4020
Practice Address - Fax:760-384-1456
Is Sole Proprietor?:No
Enumeration Date:2020-10-01
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH83441183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist