NPI 1376882167

Olive Edwina Botor, PHARMD

Practitioner Pharmacist Port Lavaca, TX

Practice location

Address: 1302 N Virginia St, Port Lavaca, TX 77979-2509
Phone: (361) 552-7451
Fax: (361) 552-7594

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 52505 (TX)

Other Pharmacist providers in Texas →

Registry record

NPI: 1376882167
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Feb 2013
Record last updated: 14 Feb 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.