Provider Demographics
NPI:1306901657
Name:OSHEA, PATRICK ANDREW (RPH)
Entity type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:ANDREW
Last Name:OSHEA
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:509 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:VA
Mailing Address - Zip Code:22812-1626
Mailing Address - Country:US
Mailing Address - Phone:540-828-6000
Mailing Address - Fax:540-828-2743
Practice Address - Street 1:509 N MAIN ST
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:VA
Practice Address - Zip Code:22812-1626
Practice Address - Country:US
Practice Address - Phone:540-828-6000
Practice Address - Fax:540-828-2743
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202006521183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist