Provider Demographics
NPI:1851569479
Name:OGAGA, CHRISTIAN O (RPH)
Entity Type:Individual
Prefix:MR
First Name:CHRISTIAN
Middle Name:O
Last Name:OGAGA
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 1:255 HUGUENOT ST
Mailing Address - Street 2:APT 204
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-6387
Mailing Address - Country:US
Mailing Address - Phone:914-813-0076
Mailing Address - Fax:
Practice Address - Street 1:625 NORTH AVE
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-2628
Practice Address - Country:US
Practice Address - Phone:914-235-6475
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-16
Last Update Date:2013-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY045262-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist