Provider Demographics
NPI:1699487454
Name:OULAI, ALAIN (RPH)
Entity type:Individual
Prefix:
First Name:ALAIN
Middle Name:
Last Name:OULAI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4350 SOUTHWEST DR
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-8207
Mailing Address - Country:US
Mailing Address - Phone:325-695-3092
Mailing Address - Fax:
Practice Address - Street 1:4350 SOUTHWEST DR
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-8207
Practice Address - Country:US
Practice Address - Phone:325-695-3092
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-22
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71804183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist