Provider Demographics
NPI:1467609222
Name:OHARA, BRENDEN PATRICK (RPH)
Entity Type:Individual
Prefix:MR
First Name:BRENDEN
Middle Name:PATRICK
Last Name:OHARA
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 CARSWELL LN
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-2825
Mailing Address - Country:US
Mailing Address - Phone:919-272-4259
Mailing Address - Fax:919-380-7291
Practice Address - Street 1:115 CARSWELL LN
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27519-2825
Practice Address - Country:US
Practice Address - Phone:919-272-4259
Practice Address - Fax:919-380-7291
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-24
Last Update Date:2008-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14596183500000X
NY045986183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist