Provider Demographics
NPI:1114297926
Name:OLINGER, VERNA (RPH)
Entity Type:Individual
Prefix:
First Name:VERNA
Middle Name:
Last Name:OLINGER
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 1:1430 WHITE OAK HWY
Mailing Address - Street 2:
Mailing Address - City:RAYNE
Mailing Address - State:LA
Mailing Address - Zip Code:70578-8935
Mailing Address - Country:US
Mailing Address - Phone:337-334-9841
Mailing Address - Fax:
Practice Address - Street 1:1430 WHITE OAK HWY
Practice Address - Street 2:
Practice Address - City:RAYNE
Practice Address - State:LA
Practice Address - Zip Code:70578-8935
Practice Address - Country:US
Practice Address - Phone:337-334-9841
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-10
Last Update Date:2012-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA16318183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist