Provider Demographics
NPI:1447434196
Name:OGILVIE, PAULA H (RPH)
Entity type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:H
Last Name:OGILVIE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1936 VAN VRANKEN AVE
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12308-1629
Mailing Address - Country:US
Mailing Address - Phone:518-372-3306
Mailing Address - Fax:518-377-3590
Practice Address - Street 1:1936 VAN VRANKEN AVE
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12308-1629
Practice Address - Country:US
Practice Address - Phone:518-372-3306
Practice Address - Fax:518-377-3590
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-18
Last Update Date:2007-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY039556-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist