Provider Demographics
NPI:1669546214
Name:ONLY INC
Entity type:Organization
Organization Name:ONLY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NNATE
Authorized Official - Middle Name:O
Authorized Official - Last Name:LEKWA
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:210-224-7676
Mailing Address - Street 1:2004 E HOUSTON ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78202-2934
Mailing Address - Country:US
Mailing Address - Phone:210-224-7676
Mailing Address - Fax:210-224-6131
Practice Address - Street 1:2004 E HOUSTON ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78202-2934
Practice Address - Country:US
Practice Address - Phone:210-224-7676
Practice Address - Fax:210-224-6131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-17
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX229513336C0003X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX149075Medicaid
TX4531706OtherNCPDP #
TX4531706OtherNCPDP #
TX4531706OtherNCPDP #