Provider Demographics
NPI:1700877578
Name:ANDRUSKO-FURPHY, KATHRYN TREMAINE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:TREMAINE
Last Name:ANDRUSKO-FURPHY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:KATHRYN
Other - Middle Name:TREMAINE
Other - Last Name:ANDRUSKO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:7545 SAN GREGORIO RD
Mailing Address - Street 2:
Mailing Address - City:ATASCADERO
Mailing Address - State:CA
Mailing Address - Zip Code:93422-1211
Mailing Address - Country:US
Mailing Address - Phone:805-466-2778
Mailing Address - Fax:805-466-2189
Practice Address - Street 1:1400 W GRAND AVE
Practice Address - Street 2:SUITE F
Practice Address - City:GROVER BEACH
Practice Address - State:CA
Practice Address - Zip Code:93433-4221
Practice Address - Country:US
Practice Address - Phone:866-239-3784
Practice Address - Fax:800-977-9255
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH40143183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist