| NPI | 1811561046 |
|---|---|
| Doing Business As | MEDIOAK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | OTIBHOR ONOSODE PIC 281-980-9979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2021-05-12 |
| Last Update Date | 2021-08-21 |