Provider Demographics
NPI:1548511702
Name:OYCO, PATRICK (RPH)
Entity type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:
Last Name:OYCO
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 CHERRY ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-2044
Mailing Address - Country:US
Mailing Address - Phone:206-624-1391
Mailing Address - Fax:206-624-1791
Practice Address - Street 1:1120 CHERRY ST
Practice Address - Street 2:SUITE 200
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-2044
Practice Address - Country:US
Practice Address - Phone:206-624-1391
Practice Address - Fax:206-624-1791
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-27
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00021211183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist