Healthcare Provider Details

I. General information

NPI: 1760171078
Provider Name (Legal Business Name): OASIS PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2023
Last Update Date: 08/08/2023
Certification Date: 08/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2650 E VINEYARD AVE
OXNARD CA
93036-1615
US

IV. Provider business mailing address

2650 E VINEYARD AVE
OXNARD CA
93036-1615
US

V. Phone/Fax

Practice location:
  • Phone: 805-919-0055
  • Fax: 805-919-0101
Mailing address:
  • Phone: 805-919-0055
  • Fax: 805-919-0101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: SORA YOON
Title or Position: OWNER
Credential: PHARMD
Phone: 805-919-0055