Provider Demographics
NPI:1164944757
Name:SANCHEZ, OLIVIA (RPH)
Entity Type:Individual
Prefix:
First Name:OLIVIA
Middle Name:
Last Name:SANCHEZ
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 1:5850 NW 200TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-4947
Mailing Address - Country:US
Mailing Address - Phone:786-660-8759
Mailing Address - Fax:954-963-0113
Practice Address - Street 1:11645 BISCAYNE BLVD
Practice Address - Street 2:ADDRESS LINE 2
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33138-6718
Practice Address - Country:US
Practice Address - Phone:305-538-8835
Practice Address - Fax:305-695-2168
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-14
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS46282183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist