Provider Demographics
NPI:1497246060
Name:MEKASON PHARMACY , INC
Entity Type:Organization
Organization Name:MEKASON PHARMACY , INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:DR
Authorized Official - First Name:EMEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:ONYEMETU
Authorized Official - Suffix:
Authorized Official - Credentials:DOCTOR
Authorized Official - Phone:432-262-0135
Mailing Address - Street 1:3205 W CUTHBERT AVE STE A5
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79701-5594
Mailing Address - Country:US
Mailing Address - Phone:432-262-0135
Mailing Address - Fax:432-262-0137
Practice Address - Street 1:3205 W CUTHBERT AVE STE A5
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79701-5594
Practice Address - Country:US
Practice Address - Phone:432-262-0135
Practice Address - Fax:432-262-0137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-19
Last Update Date:2018-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX320683336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy