Organization
MEDIOAK PHARMACY LLC
Active
Organization
MEDIOAK PHARMACY LLC
Active
Other names
MediOAK Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
OTIBHOR ONOSODE PHARMD (PIC)
(281) 980-9979
Entity
Organization
Contact information
Practice address
3129 HIGHWAY 6, SUGAR LAND, TX 77478-4367
(281) 980-9979
(281) 993-5129
Mailing address
3129 HIGHWAY 6, SUGAR LAND, TX 77478-4367
(281) 980-9979
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
05/12/2021
Last updated
08/21/2021
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