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NPI Code Detail

MEDICARE: DR. OLIVIA ERIN BUCKOSKI PHARMD

MEDICARE: DR. OLIVIA ERIN BUCKOSKI PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist22491NC
21835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist700537NC

General Provider Information

NPI Number : 1629402862
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. OLIVIA ERIN BUCKOSKI PHARMD
Provider Business Mailing Address
First Line : 110 TRIPLE OAKS LN
Second Line :
City : STATESVILLE
State : NC
Zip : 28625-8234
Country : US
Telephone Number : 330-881-6034
Fax Number :
Provider Business Practice Location Address
First Line : 200 HAWTHORNE LN
Second Line :
City : CHARLOTTE
State : NC
Zip : 28204-2515
Country : US
Telephone Number : 704-316-4610
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2013
Last Update Date : 05/06/2026

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