Healthcare Provider Details

I. General information

NPI: 1073814844
Provider Name (Legal Business Name): VERONICA OHAYA PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2010
Last Update Date: 11/10/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1730 S BUCKLEY RD
AURORA CO
80017-5172
US

IV. Provider business mailing address

1730 S BUCKLEY RD
AURORA CO
80017-5172
US

V. Phone/Fax

Practice location:
  • Phone: 303-695-1694
  • Fax: 303-695-4272
Mailing address:
  • Phone: 303-695-1694
  • Fax: 303-695-4272

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number18192
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: