Healthcare Provider Details

I. General information

NPI: 1134742786
Provider Name (Legal Business Name): WILLIAM PATRICK OGRADY PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2020
Last Update Date: 05/18/2020
Certification Date: 05/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

585 GAGE BLVD
RICHLAND WA
99352-7761
US

IV. Provider business mailing address

4312 W OKANOGAN AVE
KENNEWICK WA
99336-2331
US

V. Phone/Fax

Practice location:
  • Phone: 509-628-3629
  • Fax:
Mailing address:
  • Phone: 630-207-9358
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH61056098
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: