Healthcare Provider Details

I. General information

NPI: 1447434196
Provider Name (Legal Business Name): PAULA H OGILVIE R.PH.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/18/2007
Last Update Date: 12/18/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1936 VAN VRANKEN AVE
SCHENECTADY NY
12308-1629
US

IV. Provider business mailing address

1936 VAN VRANKEN AVE
SCHENECTADY NY
12308-1629
US

V. Phone/Fax

Practice location:
  • Phone: 518-372-3306
  • Fax: 518-377-3590
Mailing address:
  • Phone: 518-372-3306
  • Fax: 518-377-3590

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number039556-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: