Individual provider · Type 1 NPI

Theodore C. Obialo, RPH

Pharmacist · Tyler, TX

NPI number 1053630012 Active

Practice location

3820 State Highway 64 W
Tyler, TX 75704-6924

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X33412 (TX)
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X33412 (TX)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1053630012

Theodore C. Obialo, RPH's National Provider Identifier is 1053630012, issued on May 28, 2010. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Tyler, TX. The record was last updated on Oct 8, 2015.