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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