Provider Demographics
NPI:1104418433
Name:OCH, CONNOR THOMAS (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CONNOR
Middle Name:THOMAS
Last Name:OCH
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 ADAMS DR APT 105
Mailing Address - Street 2:
Mailing Address - City:MC KEES ROCKS
Mailing Address - State:PA
Mailing Address - Zip Code:15136-3913
Mailing Address - Country:US
Mailing Address - Phone:412-915-1101
Mailing Address - Fax:
Practice Address - Street 1:6100 PENN AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-3925
Practice Address - Country:US
Practice Address - Phone:412-362-0575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-08
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP454969183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist