Individual
DR. GINA KAY O'HARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, PHC, RPH
Contact information
Practice address
1397 WEIMER RD, TAOS, NM 87571-6253
(575) 737-3377
(575) 737-3339
Mailing address
1397 WEIMER RD, TAOS, NM 87571-6253
(575) 737-3377
(575) 737-3339
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5752
NM
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
PC00000295
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
282NR1301X
ACUTE HOSPITAL RURAL
NM
01
—
6432
HOSPITAL LICENSE NUMBER
NM
01
—
85-0289839
TAX ID
NM
Enumeration date
03/12/2013
Last updated
04/22/2026
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