MR. Theodore C Obialo, RPH

NPI #1053630012 in Tyler, Texas

Provider Information

NPI Number: 1053630012
Entity Type: Individual
Name: MR. Theodore C Obialo, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: May 28, 2010
Last Updated: Oct 8, 2015

Practice Location

Address: 3820 STATE HIGHWAY 64 W
City: Tyler
State: Texas
ZIP Code: 75704-6924
Phone: (903) 597-3888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist — Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	1835P0018X

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