Mr Theodore C Obialo, RPH - Pharmacist in Tyler, TX

Mr Theodore C Obialo, RPH is a Pharmacist based in Tyler, Texas. Mr Theodore C Obialo is licensed to practice in Texas (license number 33412) and his current practice location is 3820 State Highway 64 W, Tyler, Texas. He can be reached at his office (for appointments etc.) via phone at (903) 597-3888.

NPI number for Mr Theodore C Obialo is 1053630012 and his current mailing address is 3820 State Highway 64 W, Tyler, Texas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053630012.

Contact Information

Mr Theodore C Obialo, RPH
3820 State Highway 64 W,
Tyler, TX 75704-6924
(903) 597-3888
Not Available

Healthcare Provider's Profile

Full NameMr Theodore C Obialo
GenderMale
SpecialityPharmacist
Location3820 State Highway 64 W, Tyler, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1053630012
  • Provider Enumeration Date: 05/28/2010
  • Last Update Date: 10/08/2015

Medical Identifiers

Medical identifiers for Mr Theodore C Obialo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053630012NPI-NPPES
33412OtherTXPHARMACIST LICENCE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist 33412 (Texas)Primary
1835P0018XPharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist 33412 (Texas)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Theodore C Obialo is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Theodore C Obialo, RPH
3820 State Highway 64 W,
Tyler, TX 75704-6924

Ph: (903) 597-3888
Mr Theodore C Obialo, RPH
3820 State Highway 64 W,
Tyler, TX 75704-6924

Ph: (903) 597-3888

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› Verified 9 days ago


Pharmacist in Tyler, TX

Kymberli Bell, PHARMD
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 5976 Old Jacksonville Hwy, Tyler, TX 75703
Phone: 903-405-6215    Fax: 903-405-6212
Dr. Merideth Chavez, PHARMD
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 1702 S Broadway Ave, Tyler, TX 75701
Phone: 903-526-8183    
Patricia Dianne Shackelford,
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 11937 Us Highway 271, Tyler, TX 75708
Phone: 903-877-7088    Fax: 903-877-7006
Juan Eduardo Loy,
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 1105 E Gentry Pkwy, Tyler, TX 75702
Phone: 903-535-9467    
Sarah Kang,
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 5415 S Broadway Ave, Tyler, TX 75703
Phone: 909-938-9298    
Dr. Billy Joe Sartor, PHARM.D.
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 11937 Us Highway 271, University Of Texas Health Center At Tyler, Tyler, TX 75708
Phone: 903-877-7096    Fax: 903-877-7006
Payton Elizabeth Hightower, PHARMD
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 703 S Fleishel Ave Ste 4000, Tyler, TX 75701
Phone: 903-606-3000    

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