Provider Demographics
NPI:1861772584
Name:LO, CATHERINE (PHARM D)
Entity type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:
Last Name:LO
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7299 LAGUNA BLVD
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95758-5059
Mailing Address - Country:US
Mailing Address - Phone:916-691-4412
Mailing Address - Fax:916-691-4514
Practice Address - Street 1:7299 LAGUNA BLVD
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95758-5059
Practice Address - Country:US
Practice Address - Phone:916-691-4412
Practice Address - Fax:916-691-4514
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-25
Last Update Date:2023-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 50192183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist