| Doctor Name: | MRS. PATRICIA JO ODWYER |
| NPI Number: | 1205990967 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RPH, CGP |
| License Number: | 9392-040 |
| Business Practice Address: | W76n677 Wauwatosa Rd Cedarburg, WI - 530121707 |
| Business Phone Number: | 2623775060 |
| Business Fax Number: | 2625122833 |
| Mailing Address: | 8415 N Port Washington Rd, FOX POINT |
| State: | WI |
| Postal Code: | 532172232 |
| Phone Number: | 4143516892 |
| Fax Number: | |
| NPI Enumeration Date: | 12/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1835G0303X |
| License Number: | 9392-040 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Pharmacy Service Providers |
| Taxonomy Classification: | Pharmacist |
| Taxonomy Specialization: | Geriatric |
| Taxonomy Definition: | A pharmacist who is certified in geriatric pharmacy practice is designated as a |