Odiakosa, Ethel

Odiakosa, Ethel is an individual health care provider with primary practice located at 255 N El Cielo Rd Suite C322, Palm Springs CA 92262-6992. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Odiakosa, Ethel can be contacted via phone (760) 969-6560.

Contact Information

Primary practice address
255 N El Cielo Rd Suite C322 Palm Springs CA 92262-6992
Fax: (760) 328-2230
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 61675 California

Profile Details

NPI number 1861703225
LBN Legal business name Odiakosa, Ethel
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2010
Last updated Apr 25th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861703225 NPPES
California Other 61675 STATE LICENSE

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