Provider Demographics
NPI:1639156102
Name:ROSALY, OLGA BEATRIZ (PHARMACIST)
Entity Type:Individual
Prefix:MRS
First Name:OLGA
Middle Name:BEATRIZ
Last Name:ROSALY
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2514 CALLE GARDENIA
Mailing Address - Street 2:VILLA FLORES
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00716-2908
Mailing Address - Country:US
Mailing Address - Phone:787-844-1268
Mailing Address - Fax:787-844-1268
Practice Address - Street 1:2514 CALLE GARDENIA
Practice Address - Street 2:VILLA FLORES
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716-2908
Practice Address - Country:US
Practice Address - Phone:787-844-1268
Practice Address - Fax:787-844-1268
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR34841835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy