Healthcare Provider Details

I. General information

NPI: 1689751653
Provider Name (Legal Business Name): OKULEYS PHARMACY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 S MAIN ST
CONTINENTAL OH
45831-9004
US

IV. Provider business mailing address

PO BOX 388 102 S MAIN ST
CONTINENTAL OH
45831-9004
US

V. Phone/Fax

Practice location:
  • Phone: 419-596-3898
  • Fax: 419-596-3909
Mailing address:
  • Phone: 419-596-3898
  • Fax: 419-596-3909

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number020916500
License Number StateOH

VIII. Authorized Official

Name: MRS. KIEU M OKULEY
Title or Position: OWNER RPH
Credential: RPH
Phone: 419-596-3898