Provider Demographics
NPI:1912351891
Name:ANDREWS, CARLOTA (PHARM D)
Entity type:Individual
Prefix:DR
First Name:CARLOTA
Middle Name:
Last Name:ANDREWS
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 1:874 OLD PRIEUR LN
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93619-7684
Mailing Address - Country:US
Mailing Address - Phone:559-549-6405
Mailing Address - Fax:
Practice Address - Street 1:120 N CLOVIS AVE
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93612-0303
Practice Address - Country:US
Practice Address - Phone:559-549-6405
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-18
Last Update Date:2016-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA544721835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy