Provider Demographics
NPI:1346313921
Name:FLORES, OLGA SOFIA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:OLGA
Middle Name:SOFIA
Last Name:FLORES
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MRS
Other - First Name:OLGA
Other - Middle Name:SOFIA
Other - Last Name:FLORES-CARACALLA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5375 RENAISSANCE AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92122-5665
Mailing Address - Country:US
Mailing Address - Phone:858-552-9299
Mailing Address - Fax:
Practice Address - Street 1:10990 SAN DIEGO MISSION RD
Practice Address - Street 2:AMCARE-PHARMACY 3RD FLOOR BUILDING 1
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-2417
Practice Address - Country:US
Practice Address - Phone:619-641-4286
Practice Address - Fax:619-641-2619
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA461561835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy