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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

OLIVER CUSTODIO DIA, RPH

Active

Ambulatory Care Pharmacist · TACOMA, WA

Registration Details

NPI Number
1558873190
Provider Type
Individual
Gender
Male
NPI Issued
Nov 3, 2017 (8.4650433019528 yrs)
Last Updated
Jun 16, 2018
Licenses
RPH50999 (WA)
RPH44850 (CA)
WA50999 (WA)

Practice Information

Address
9040 A JACKSON AVE
TACOMA, WA, 984310001
Browse WA providers · Browse ZIP 98431
Phone
2539682586
Primary Specialty
Ambulatory Care Pharmacist
1835P2201X
Additional Specialty
Pharmacist
Additional Specialty
Ambulatory Care Pharmacist

Other Ambulatory Care Pharmacist Providers in TACOMA, WA

Name Credential NPI
DR. EMILY VERLAINE LEAF PHARMD 1922072537
JENNA MARIE HENRY PHARMD 1003325507
RACHA ALDUGHLI PHARM D 1790297232
RACHNA BURMAN PATEL I PHARMD 1760974315
MICHAEL GLOCKLING JR. 1194314336
DAVID CHEN WORTHINGTON PHARMD 1336716794
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.