Individual ProviderLenitra OliverPharmacistPharmacy Service ProvidersPractice Address101 Bodin Cir, Travis Afb, CA 94535-1809(999) 999-9999PECOS EnrollmentBased on the most recent information from CMS, provider Lenitra Oliver does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:10 AM.Profile DetailsProvider ID1083159271Provider TypeIndividualFull NameOliver, LenitraTitleDr.CredentialPHARMD.GenderFemaleSole ProprietorNoEnumeration Date12/27/2016Last Updated4/10/2018Contact InformationPractice LocationPractice Address101 Bodin Cir, Travis Afb, CA 94535-1809Phone(999) 999-9999FaxUnlisted FaxMailing LocationMailing Address101 Bodin Cir, Travis Afb, CA 94535-1809PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense3087WyomingCode183500000XDescriptionPharmacistPharmacy Service ProvidersLicense17323ColoradoCode183500000XDescriptionPharmacistPharmacy Service ProvidersLicense41923Florida