Mr. Theodore C Obialo
Pharmacist
3820 State Highway 64 W, Tyler
Texas, 75704-6924
903-597-3888 Mr. Theodore C Obialo is a pharmacist in Tyler, Texas. Patients can reach him at 3820 State Highway 64 W, Tyler or contact him on 903-597-3888. Active license number of Mr. Theodore C Obialo is 33412 for Pharmacist in Texas.
Mr. Theodore C Obialo is 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.
Complete Profile:
Mr. Theodore C Obialo speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for enquiries.
| Name: | Mr. Theodore C Obialo |
| Specialization: | Pharmacist |
| Credentials: | RPH |
| Gender: | Male |
| Location: | 3820 State Highway 64 W, Tyler,
Texas, 75704-6924 |
| Phone: | 903-597-3888 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of Mr. Theodore C Obialo are as mentioned below.
| NPI Number: | 1053630012 |
| NPI Enumeration Date: | 28 May, 2010 |
| NPI Last Update On: | 08 Oct, 2015 |
Medical Licenses:
Pharmacists can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Theodore C Obialo are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacist | 33412 | Texas | Primary | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 33412 | Texas | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Theodore C Obialo such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 33412 | Other | Texas | Pharmacist Licence |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3820 State Highway 64 W,
Tyler, Texas |
| Zip: | 75704-6924 |
| Phone Number: | 903-597-3888 |
Patients can reach Mr. Theodore C Obialo at
3820 State Highway 64 W, Tyler, Texas or can
call on phone at 903-597-3888.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.