Healthcare Provider Details

I. General information

NPI: 1467905224
Provider Name (Legal Business Name): KATIE ANNE OGDEN PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2016
Last Update Date: 07/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

653 ROUTE 9
GANSEVOORT NY
12831-1478
US

IV. Provider business mailing address

646 ROUTE 9P
SARATOGA SPRINGS NY
12866-7282
US

V. Phone/Fax

Practice location:
  • Phone: 518-584-4021
  • Fax:
Mailing address:
  • Phone: 518-879-9224
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number058217
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: