Healthcare Provider Details

I. General information

NPI: 1144558883
Provider Name (Legal Business Name): CALVIN CRAIG OGDEN R.PH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/18/2009
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6000 W HIGHWAY 98
PENSACOLA FL
32512-0003
US

IV. Provider business mailing address

6000 W HIGHWAY 98
PENSACOLA FL
32512-0003
US

V. Phone/Fax

Practice location:
  • Phone: 504-605-1316
  • Fax:
Mailing address:
  • Phone: 504-605-1316
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835N0905X
TaxonomyNuclear Pharmacist
License Number045104
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number045104
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: