Organization
OM COMPREHENSIVE SERVICES LLC
Active
Other names
Hometown Pharmacy - Kermit
Organization subpart
No
Provider details
NPI number
Authorized official
SAM AYILEKA (PHARMACIST)
(432) 309-5160
Entity
Organization
Contact information
Practice address
900 MYER LN # A, KERMIT, TX 79745-4621
(432) 309-5160
(432) 309-5161
Mailing address
900 MYER LN, KERMIT, TX 79745-4621
(432) 309-5160
(432) 309-5161
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150497
—
TX
Enumeration date
07/15/2021
Last updated
06/26/2025
About Stedi
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