Provider Demographics
NPI:1770868655
Name:OLIVERA, DELIA ANGELA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DELIA
Middle Name:ANGELA
Last Name:OLIVERA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:DELIA
Other - Middle Name:ANGELA
Other - Last Name:BARRERA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:10441 BLACKMORE DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647
Mailing Address - Country:US
Mailing Address - Phone:813-205-2130
Mailing Address - Fax:
Practice Address - Street 1:10441 BLACKMORE DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647
Practice Address - Country:US
Practice Address - Phone:813-205-2130
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-11
Last Update Date:2011-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS44018183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist