Individual ProviderKatherine M. O'DellPharmacistPharmacy Service ProvidersPractice Address101 Bodin Cir, Pharmacy Flight, Travis Afb, CA 94535-1809(707) 423-3884PECOS EnrollmentBased on the most recent information from CMS, provider Katherine M. O'Dell does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:10 AM.Profile DetailsProvider ID1538278692Provider TypeIndividualFull NameO'Dell, Katherine M.TitleDr.CredentialPHARM.D.GenderFemaleSole ProprietorYesEnumeration Date8/30/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address101 Bodin Cir, Pharmacy Flight, Travis Afb, CA 94535-1809Phone(707) 423-3884Fax(707) 423-7997Mailing LocationMailing Address10638 Willow Glen Cir, Stockton, CA 95209-4195PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense56959California