Provider Demographics
NPI:1023403367
Name:MOIKE ENTERPRISES LLC
Entity type:Organization
Organization Name:MOIKE ENTERPRISES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:MOJIBOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:OPEOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-238-3619
Mailing Address - Street 1:11844 BANDERA RD # 454
Mailing Address - Street 2:
Mailing Address - City:HELOTES
Mailing Address - State:TX
Mailing Address - Zip Code:78023-4132
Mailing Address - Country:US
Mailing Address - Phone:214-238-3619
Mailing Address - Fax:
Practice Address - Street 1:9201 WARREN PKWY # 300
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-6202
Practice Address - Country:US
Practice Address - Phone:214-238-3619
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-03
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX298933336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2151147OtherPK