Healthcare Provider Details

I. General information

NPI: 1083987523
Provider Name (Legal Business Name): KATHRYN GAOIRAN BARTLETT PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/14/2012
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1240 LOS OSOS VALLEY RD
LOS OSOS CA
93402-3307
US

IV. Provider business mailing address

1240 LOS OSOS VALLEY RD
LOS OSOS CA
93402-3307
US

V. Phone/Fax

Practice location:
  • Phone: 805-528-0244
  • Fax: 805-528-0244
Mailing address:
  • Phone: 805-772-2413
  • Fax: 805-772-8762

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number43440
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: