Provider Demographics
NPI:1245990233
Name:SOSI, OGBOO (RPH)
Entity type:Individual
Prefix:
First Name:OGBOO
Middle Name:
Last Name:SOSI
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 1:52 CHESTER PIKE
Mailing Address - Street 2:
Mailing Address - City:DARBY
Mailing Address - State:PA
Mailing Address - Zip Code:19023-2018
Mailing Address - Country:US
Mailing Address - Phone:610-532-1034
Mailing Address - Fax:
Practice Address - Street 1:52 CHESTER PIKE
Practice Address - Street 2:
Practice Address - City:DARBY
Practice Address - State:PA
Practice Address - Zip Code:19023-2018
Practice Address - Country:US
Practice Address - Phone:610-532-1034
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-18
Last Update Date:2021-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP446244183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist