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General NPI Number Information
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NPI Number | 1851812523
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Entity Type | Organization
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Legal Business Name | OKULEYS PHARMACY INC.
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Dates
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Enumeration Date | 07/03/2017
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 102 S MAIN ST
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City | CONTINENTAL
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State | OH
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Zip | 45831-9194
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Country | US
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Telephone | 419-596-3898
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Fax | 419-596-3909
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Provider Business Mailing Address
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Address Line | PO BOX 388
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City | CONTINENTAL
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State | OH
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Zip | 45831-0388
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Country | US
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Telephone | 419-596-3898
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Fax |
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Authorized Official
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Title or Position | COMPLIANCE OFFICER
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Name | MARCIA WAKEHAM
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Credential |
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Telephone | 419-784-4800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | PMY.020916500-03
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License Number State | OH
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