Healthcare Provider Details

I. General information

NPI: 1427471325
Provider Name (Legal Business Name): OSLER GREGORIO ANDRES ANDRES PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/28/2014
Last Update Date: 12/11/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1909 214TH ST SE STE 301
BOTHELL WA
98021-4412
US

IV. Provider business mailing address

45-010 WENA PL
KANEOHE HI
96744-2850
US

V. Phone/Fax

Practice location:
  • Phone: 425-412-7324
  • Fax:
Mailing address:
  • Phone: 808-220-2683
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH-3604
License Number StateHI

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: