Provider Demographics
NPI:1417065988
Name:PAULI, MARTHA W (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MARTHA
Middle Name:W
Last Name:PAULI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:7045 WARBLER WAY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95831-2978
Mailing Address - Country:US
Mailing Address - Phone:916-395-6010
Mailing Address - Fax:916-421-3552
Practice Address - Street 1:7045 WARBLER WAY
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95831-2978
Practice Address - Country:US
Practice Address - Phone:916-395-6010
Practice Address - Fax:916-421-3552
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA306201835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1300XPharmacy Service ProvidersPharmacistPsychiatric