Provider Demographics
NPI:1356430409
Name:CHOVICK, NORA LYNN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:NORA
Middle Name:LYNN
Last Name:CHOVICK
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 1:4361 BRIDGEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94602-1910
Mailing Address - Country:US
Mailing Address - Phone:510-530-4742
Mailing Address - Fax:510-752-6466
Practice Address - Street 1:INPATIENT PHARMACY
Practice Address - Street 2:280 W. MACARTHUR BLVD
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94611
Practice Address - Country:US
Practice Address - Phone:510-752-1622
Practice Address - Fax:510-752-6466
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35450183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA35450OtherPHARMACY LICENSE