Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Theodore C Obialo, RPH

Individual provider Pharmacist · NPI 1053630012

Mr. Theodore C Obialo, RPH is a Pharmacist in Tyler, Texas. Licensed in Texas. Registered with an NPI since 2010.

Licensed in
TX
In the registry since
2010
Specialties on file
2
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

3820 State Highway 64 W
Tyler, TX 75704-6924
Phone: (903) 597-3888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 33412 (TX)
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Taxonomy 1835P0018X · Licence 33412 (TX)

Record details

NPI number1053630012
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorNo
NPI enumeratedMay 28, 2010
Last updated in NPPESOctober 8, 2015

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