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Theodore Obialo, RPH

NPI 1053630012 · on the registry since 2010

Practice

Address
3820 State Highway 64 W
Tyler, TX 75704
Phone
(903) 597-3888
Organisation at this address
Mc Medical Llc
Wal-Mart Stores Texas Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
183500000X
183500000X
Also registered as
1835P0018X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-10-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas