Provider Demographics
NPI:1639349699
Name:OSHODI, CLARETTA B (RPH)
Entity Type:Individual
Prefix:MR
First Name:CLARETTA
Middle Name:B
Last Name:OSHODI
Suffix:
Gender:F
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:DOROTHEA DIX HOSPITAL
Mailing Address - Street 2:3601 MAIL SERVICE CENER
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27699-0001
Mailing Address - Country:US
Mailing Address - Phone:919-733-5266
Mailing Address - Fax:919-733-1544
Practice Address - Street 1:DOROTHEA DIX HOSPITAL
Practice Address - Street 2:3601 MAIL SERVICE CENER
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27699-0001
Practice Address - Country:US
Practice Address - Phone:919-733-5266
Practice Address - Fax:919-733-1544
Is Sole Proprietor?:No
Enumeration Date:2008-03-06
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC07332183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist