Provider Demographics
NPI:1255668000
Name:OCHU, OMO O (PHARMD)
Entity Type:Individual
Prefix:
First Name:OMO
Middle Name:O
Last Name:OCHU
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3514 SHADOWMEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-2374
Mailing Address - Country:US
Mailing Address - Phone:832-647-3598
Mailing Address - Fax:
Practice Address - Street 1:3514 SHADOWMEADOWS DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-2374
Practice Address - Country:US
Practice Address - Phone:832-647-3598
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-13
Last Update Date:2009-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX46509183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist