Organization
OAK CREEK RX
Active
Other names
Oak Creek Rx, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ANITHA TEEKARAMAN (MANAGING MEMBER)
(402) 307-2566
Entity
Organization
Contact information
Practice address
8607 F ST, OMAHA, NE 68127-1604
(402) 307-2566
(402) 999-0614
Mailing address
8607 F ST, OMAHA, NE 68127-1604
(402) 307-2566
(402) 999-0614
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
673
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2163981
PK
—
Enumeration date
08/26/2016
Last updated
09/07/2016
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