Provider Demographics
NPI:1801521273
Name:HONEST OAK LLC
Entity type:Organization
Organization Name:HONEST OAK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FERREE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:309-750-1827
Mailing Address - Street 1:PO BOX 130
Mailing Address - Street 2:
Mailing Address - City:LIMON
Mailing Address - State:CO
Mailing Address - Zip Code:80828-0130
Mailing Address - Country:US
Mailing Address - Phone:719-775-0500
Mailing Address - Fax:719-775-0555
Practice Address - Street 1:333 M AVE STE 100
Practice Address - Street 2:
Practice Address - City:LIMON
Practice Address - State:CO
Practice Address - Zip Code:80828-2239
Practice Address - Country:US
Practice Address - Phone:719-775-0500
Practice Address - Fax:719-775-0500
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HONEST OAK, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-07-20
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy