Provider Demographics
NPI:1124321435
Name:OBERRITER, ANTOINETTE EVA (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:ANTOINETTE
Middle Name:EVA
Last Name:OBERRITER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11290 DONNER PASS RD
Mailing Address - Street 2:
Mailing Address - City:TRUCKEE
Mailing Address - State:CA
Mailing Address - Zip Code:96161-4808
Mailing Address - Country:US
Mailing Address - Phone:530-582-7952
Mailing Address - Fax:530-582-7965
Practice Address - Street 1:11290 DONNER PASS RD
Practice Address - Street 2:
Practice Address - City:TRUCKEE
Practice Address - State:CA
Practice Address - Zip Code:96161-4808
Practice Address - Country:US
Practice Address - Phone:530-582-7952
Practice Address - Fax:530-582-7965
Is Sole Proprietor?:No
Enumeration Date:2010-12-08
Last Update Date:2010-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA49919183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist