Provider Demographics
NPI:1346681699
Name:COLON, OLGA MILENA (PHARMD)
Entity Type:Individual
Prefix:
First Name:OLGA
Middle Name:MILENA
Last Name:COLON
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:STREET VIA ATENAS #LC-49
Mailing Address - Street 2:L'ANTIGUA
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976-6103
Mailing Address - Country:US
Mailing Address - Phone:787-366-4284
Mailing Address - Fax:
Practice Address - Street 1:VIA ATENAS URB. L'ANTIGUA
Practice Address - Street 2:LC-49
Practice Address - City:TRUJILLO ALTO
Practice Address - State:PR
Practice Address - Zip Code:00976
Practice Address - Country:US
Practice Address - Phone:787-366-4284
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-16
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6029183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist