Organization
OAKS PHARMACY INC
Active
Other names
OAKS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ISAAC OYEMOLA (PRES)
(215) 465-1414
Entity
Organization
Contact information
Practice address
1401 S 4TH ST, PHILADELPHIA, PA 19147-5948
(215) 465-1414
(215) 465-6047
Mailing address
1401 S 4TH ST, PHILADELPHIA, PA 19147-5948
(215) 465-1414
(215) 465-6047
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP415254L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001620421
—
PA
01
—
3972646
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/15/2007
Last updated
03/15/2012
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