Organization
OKULEYS PHARMACY AND HOME MEDICAL OF WAUSEON INC
Active
Other names
Okuleys Pharmacy & Home Medical of Wauseon Inc
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS OKULEY (OWNER)
(419) 596-2003
Entity
Organization
Contact information
Practice address
123 S FULTON ST, WAUSEON, OH 43567-1351
(419) 335-6901
(419) 335-6901
Mailing address
123 S FULTON ST, WAUSEON, OH 43567-1351
(419) 335-6901
(419) 335-6901
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
022089450
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3615195
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/31/2006
Last updated
12/16/2010
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