Provider Demographics
NPI:1114423662
Name:OECHSNER, JOHN NATHAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:NATHAN
Last Name:OECHSNER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:295 E ROOSEVELT ST APT 321
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85004-2095
Mailing Address - Country:US
Mailing Address - Phone:314-707-9071
Mailing Address - Fax:
Practice Address - Street 1:1380 W ELLIOT RD
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85284-1102
Practice Address - Country:US
Practice Address - Phone:480-345-8686
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-03
Last Update Date:2018-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA72282183500000X
AZS022369183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist