Organization
OKIES PHARMACY II INC
Active
Organization
OKIES PHARMACY II INC
Active
Other names
Okie's Pharmacy II
Organization subpart
No
Provider details
NPI number
Authorized official
MICAH CRAINE (OWNER)
(865) 932-7775
Entity
Organization
Contact information
Practice address
1050 RUTLEDGE PIKE, BLAINE, TN 37709-3027
(865) 932-7775
(865) 932-7770
Mailing address
PO BOX 39, BLAINE, TN 37709-0039
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0000003905
TN
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2093973
PK
—
05
—
Q035861
—
TN
Enumeration date
09/20/2006
Last updated
10/31/2024
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