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NPI Code Detail

MEDICARE: DR. OLIVIA RAYE OCHOA PHARMD

MEDICARE:  DR. OLIVIA RAYE OCHOA  PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist13868OK

General Provider Information

NPI Number : 1689959389
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. OLIVIA RAYE OCHOA PHARMD
Provider Business Mailing Address
First Line : 1438 N LEWIS AVE
Second Line :
City : TULSA
State : OK
Zip : 74110-4705
Country : US
Telephone Number : 918-583-7593
Fax Number : 918-583-0672
Provider Business Practice Location Address
First Line : 1438 N LEWIS AVE
Second Line :
City : TULSA
State : OK
Zip : 74110-4705
Country : US
Telephone Number : 918-583-7593
Fax Number : 918-583-0672
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2011
Last Update Date : 10/14/2011

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Directions to “ DR. OLIVIA RAYE OCHOA PHARMD” Practice Location

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