Provider Demographics
NPI:1568890937
Name:ZARGAROVA, OLGA (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:OLGA
Middle Name:
Last Name:ZARGAROVA
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 1:6565 BOOTH ST APT 207
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-4137
Mailing Address - Country:US
Mailing Address - Phone:917-945-9919
Mailing Address - Fax:
Practice Address - Street 1:9602 JAMAICA AVE
Practice Address - Street 2:
Practice Address - City:WOODHAVEN
Practice Address - State:NY
Practice Address - Zip Code:11421-2209
Practice Address - Country:US
Practice Address - Phone:718-805-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-23
Last Update Date:2013-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYI058710-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist