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Mr. Theodore C Obialo, RPH
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Tyler, Texas
NPI 1053630012

Theodore C Obialo is a Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist based in Tyler, TX and is specialized in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Theodore C Obialo practices in Tyler, TX and has the professional credentials of RPH. The NPI Number for Theodore C Obialo is 1053630012 and holds a License No. 33412 (Texas).

The current practice location address for Theodore C Obialo is 3820 State Highway 64 W, Tyler, TX and can be reached out via phone at 903-597-3888.

Location: 3820 State Highway 64 W, Tyler, TX, 75704-6924
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053630012
Provider Name
Theodore C Obialo
Credential
RPH
Provider Entity Type
Individual
Gender
Male
Address
3820 State Highway 64 W, Tyler, TX, 75704-6924
Phone Number
903-597-3888
Fax Number
Provider Enumeration Date
05/28/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
33412 01 TX PHARMACIST LICENCE
institution
Provider Business Practice Location Address Details
Address
3820 State Highway 64 W
City
Tyler
State
Texas
Zip
75704-6924
Phone Number
903-597-3888
Fax Number
person
Provider Business Mailing Address Details
Address
3820 State Highway 64 W
City
Tyler
State
Texas
Zip
75704-6924
Phone Number
903-597-3888
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
33412 (Texas)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
person
Provider's Taxonomy Details 2
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Taxonomy
1835P0018X
License No.
33412 (Texas)
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
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