Provider Demographics
NPI:1053962886
Name:PALMER, OKSANA (PHARMD)
Entity type:Individual
Prefix:
First Name:OKSANA
Middle Name:
Last Name:PALMER
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 1:8735 BAY PKWY APT B41
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-5186
Mailing Address - Country:US
Mailing Address - Phone:347-962-8305
Mailing Address - Fax:
Practice Address - Street 1:8735 BAY PKWY APT B41
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-5186
Practice Address - Country:US
Practice Address - Phone:347-962-8305
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-23
Last Update Date:2019-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY066051183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist