Provider Demographics
NPI:1841890696
Name:HONEST OAK LLC
Entity type:Organization
Organization Name:HONEST OAK LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FERREE
Authorized Official - Suffix:
Authorized Official - Credentials:
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:
Mailing Address - Fax:
Practice Address - Street 1:550 5TH STREET
Practice Address - Street 2:SUITE 2
Practice Address - City:CALHAN
Practice Address - State:CO
Practice Address - Zip Code:80808
Practice Address - Country:US
Practice Address - Phone:719-740-0200
Practice Address - Fax:844-927-4655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-30
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy