Provider Demographics
NPI:1942634167
Name:OJO, DELORES O (PHARMD)
Entity Type:Individual
Prefix:
First Name:DELORES
Middle Name:O
Last Name:OJO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:642 ANGLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-6523
Mailing Address - Country:US
Mailing Address - Phone:972-480-9635
Mailing Address - Fax:
Practice Address - Street 1:7000 PARKWOOD BLVD
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-3535
Practice Address - Country:US
Practice Address - Phone:972-378-3871
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-23
Last Update Date:2013-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX53871183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist