Provider Demographics
NPI:1386078913
Name:OGOH, JUDITH ADANNA (RPH, PHARMD)
Entity type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:ADANNA
Last Name:OGOH
Suffix:
Gender:F
Credentials:RPH, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 CROSSING PL
Mailing Address - Street 2:APT.# 535
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78741-3390
Mailing Address - Country:US
Mailing Address - Phone:512-701-8001
Mailing Address - Fax:
Practice Address - Street 1:1500 CROSSING PL
Practice Address - Street 2:APT.# 535
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78741-3390
Practice Address - Country:US
Practice Address - Phone:512-701-8001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-30
Last Update Date:2013-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37882183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist