Provider Demographics
NPI:1528757820
Name:KUCHARSKI, OLIVIA M (PHARMD)
Entity type:Individual
Prefix:DR
First Name:OLIVIA
Middle Name:M
Last Name:KUCHARSKI
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 1:5763 WINDY BAY TER
Mailing Address - Street 2:
Mailing Address - City:NOKOMIS
Mailing Address - State:FL
Mailing Address - Zip Code:34275-4346
Mailing Address - Country:US
Mailing Address - Phone:716-998-9407
Mailing Address - Fax:
Practice Address - Street 1:105 S PEBBLE BEACH BLVD
Practice Address - Street 2:
Practice Address - City:SUN CITY CENTER
Practice Address - State:FL
Practice Address - Zip Code:33573-5791
Practice Address - Country:US
Practice Address - Phone:813-633-8082
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-02
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS65556183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist