Provider Demographics
NPI:1871830711
Name:OLORTEGUI, EDUARDO DANIEL (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:EDUARDO
Middle Name:DANIEL
Last Name:OLORTEGUI
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9850 LITTLE RD
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34654-3470
Mailing Address - Country:US
Mailing Address - Phone:727-869-7919
Mailing Address - Fax:727-863-6079
Practice Address - Street 1:9850 LITTLE RD
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34654-3470
Practice Address - Country:US
Practice Address - Phone:727-869-7919
Practice Address - Fax:727-863-6079
Is Sole Proprietor?:No
Enumeration Date:2013-01-11
Last Update Date:2013-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS36633183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist