Provider Demographics
NPI:1093304024
Name:OAKSTEAD INFUSION PHARMACY, LLC
Entity Type:Organization
Organization Name:OAKSTEAD INFUSION PHARMACY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:P
Authorized Official - Last Name:GALERIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-630-2072
Mailing Address - Street 1:1492 W ANTELOPE DR STE 208
Mailing Address - Street 2:
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84041-1158
Mailing Address - Country:US
Mailing Address - Phone:801-825-3879
Mailing Address - Fax:801-991-6924
Practice Address - Street 1:1492 W ANTELOPE DR STE 208
Practice Address - Street 2:
Practice Address - City:LAYTON
Practice Address - State:UT
Practice Address - Zip Code:84041-1158
Practice Address - Country:US
Practice Address - Phone:801-825-3879
Practice Address - Fax:801-991-6924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-14
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy