Provider Demographics
NPI:1366291528
Name:O'BRIEN, MAUREEN ANN (PHARMD)
Entity type:Individual
Prefix:
First Name:MAUREEN
Middle Name:ANN
Last Name:O'BRIEN
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 1:1833 PORTOLA RD STE K&L
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-6435
Mailing Address - Country:US
Mailing Address - Phone:805-981-2500
Mailing Address - Fax:805-981-8447
Practice Address - Street 1:1833 PORTOLA RD STE K&L
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-6435
Practice Address - Country:US
Practice Address - Phone:805-981-2500
Practice Address - Fax:805-981-8447
Is Sole Proprietor?:No
Enumeration Date:2024-05-17
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA43736183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist