Healthcare Provider Details

I. General information

NPI: 1871830711
Provider Name (Legal Business Name): EDUARDO DANIEL OLORTEGUI PHARM D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/11/2013
Last Update Date: 01/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9850 LITTLE RD
NEW PORT RICHEY FL
34654-3470
US

IV. Provider business mailing address

9850 LITTLE RD
NEW PORT RICHEY FL
34654-3470
US

V. Phone/Fax

Practice location:
  • Phone: 727-869-7919
  • Fax: 727-863-6079
Mailing address:
  • Phone: 727-869-7919
  • Fax: 727-863-6079

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS36633
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: