Healthcare Provider Details

I. General information

NPI: 1174525109
Provider Name (Legal Business Name): RHODA A OKAILY RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 08/10/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 BLACK ROCK RD
ROYERSFORD PA
19468-3109
US

IV. Provider business mailing address

1600 BLACK ROCK RD
ROYERSFORD PA
19468-3109
US

V. Phone/Fax

Practice location:
  • Phone: 610-792-2342
  • Fax: 610-792-4328
Mailing address:
  • Phone: 610-792-2342
  • Fax: 610-792-4328

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP035535L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: