Provider Demographics
NPI:1740870419
Name:NEMETZ, PATSY JOANNE (PHARM D)
Entity type:Individual
Prefix:DR
First Name:PATSY
Middle Name:JOANNE
Last Name:NEMETZ
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:DR
Other - First Name:PATSY
Other - Middle Name:JOANNE
Other - Last Name:MATTLY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11365 HAGGIE RD
Mailing Address - Street 2:
Mailing Address - City:WILTON
Mailing Address - State:CA
Mailing Address - Zip Code:95693-9754
Mailing Address - Country:US
Mailing Address - Phone:209-648-5030
Mailing Address - Fax:
Practice Address - Street 1:1 SHIELDS AVE
Practice Address - Street 2:
Practice Address - City:DAVIS
Practice Address - State:CA
Practice Address - Zip Code:95616-5200
Practice Address - Country:US
Practice Address - Phone:530-752-2338
Practice Address - Fax:530-754-5842
Is Sole Proprietor?:No
Enumeration Date:2021-01-26
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH468261835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care