Healthcare Provider Details

I. General information

NPI: 1992108336
Provider Name (Legal Business Name): OLGA BOYTSOVA PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2014
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10450 N LA CANADA DR
ORO VALLEY AZ
85737-7027
US

IV. Provider business mailing address

2326 E PRECIOUS SHARD CT
ORO VALLEY AZ
85755-1955
US

V. Phone/Fax

Practice location:
  • Phone: 520-877-9269
  • Fax: 520-877-9269
Mailing address:
  • Phone: 520-877-9269
  • Fax: 520-531-8281

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberS020829
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: