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NPI Code Detail

MEDICARE: DR. CATHERINE ANN BEAUCHAMP PHARM.D.

MEDICARE: DR. CATHERINE ANN BEAUCHAMP PHARM.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistRPH40207CA

General Provider Information

NPI Number : 1598890428
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CATHERINE ANN BEAUCHAMP PHARM.D.
Provider Business Mailing Address
First Line : PO BOX 2203
Second Line :
City : CASTRO VALLEY
State : CA
Zip : 94546-0203
Country : US
Telephone Number : 510-909-6986
Fax Number :
Provider Business Practice Location Address
First Line : 1607 SHATTUCK AVE
Second Line :
City : BERKELEY
State : CA
Zip : 94709-1611
Country : US
Telephone Number : 510-549-9201
Fax Number : 510-549-9204
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2007
Last Update Date : 07/08/2007

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