# OKULEYS PHARMACY & HOME MEDICAL OF WAUSEON INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013219096
- **Authorized official:** KIEU OKULEY RPH (PHARMACIST/OWNER)
- **Authorized official phone:** (419) 596-2003

## Contact information

- **Practice address:** 123 S FULTON ST, WAUSEON, OH 43567-1351
- **Practice address phone:** (419) 335-6901
- **Practice address fax:** (419) 335-6901
- **Mailing address:** 123 S FULTON ST, WAUSEON, OH 43567-1351
- **Mailing address phone:** (419) 335-6901
- **Mailing address fax:** (419) 335-6901

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | RTP022089450 | OH | Yes |

## Other

- **Enumeration date:** 11/24/2010
- **Last updated:** 11/24/2010