Provider Demographics
NPI:1497019699
Name:OK PHARMACY
Entity Type:Organization
Organization Name:OK PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:SYLVANAS
Authorized Official - Middle Name:O
Authorized Official - Last Name:ANIDU
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:956-464-2000
Mailing Address - Street 1:122 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DONNA
Mailing Address - State:TX
Mailing Address - Zip Code:78537-3226
Mailing Address - Country:US
Mailing Address - Phone:956-464-2200
Mailing Address - Fax:956-464-2829
Practice Address - Street 1:5520 N MCCOLL RD
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-2242
Practice Address - Country:US
Practice Address - Phone:956-618-0300
Practice Address - Fax:956-618-0307
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OK PHARMACY INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-07-02
Last Update Date:2012-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX41314183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty