Provider Demographics
NPI:1689009714
Name:MARION OAKS PHARMACY INC
Entity Type:Organization
Organization Name:MARION OAKS PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OSARHIEME
Authorized Official - Middle Name:
Authorized Official - Last Name:IGBINOBA OKOJIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-307-9371
Mailing Address - Street 1:13795 SW 36TH AVENUE RD STE 5B
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34473-6104
Mailing Address - Country:US
Mailing Address - Phone:352-307-9371
Mailing Address - Fax:352-307-9375
Practice Address - Street 1:13795 SW 36TH AVENUE RD STE 5B
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34473-6104
Practice Address - Country:US
Practice Address - Phone:352-307-9371
Practice Address - Fax:352-307-9375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-09
Last Update Date:2013-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH270533336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy