Provider Demographics
NPI:1699341578
Name:OLGUIN, DENISE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DENISE
Middle Name:
Last Name:OLGUIN
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 1:4657 OCEAN DR APT 138
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78412-2685
Mailing Address - Country:US
Mailing Address - Phone:830-872-1571
Mailing Address - Fax:
Practice Address - Street 1:11133 LEOPARD ST
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78410-2613
Practice Address - Country:US
Practice Address - Phone:361-241-0406
Practice Address - Fax:361-241-0426
Is Sole Proprietor?:No
Enumeration Date:2021-06-01
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX227158183700000X
TX71713183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No183700000XPharmacy Service ProvidersPharmacy Technician