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NPI 1023029667

NPI 1023029667 : OAKLEY PHCY LLC : OAKLEY, KS

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General NPI Number Information
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    NPI Number           |    1023029667
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    Entity Type          |    Organization 
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    Legal Business Name  |    OAKLEY PHCY LLC 
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Dates
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    Enumeration Date     |    08/10/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    103 CENTER AVE 
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    City                 |    OAKLEY
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    State                |    KS
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    Zip                  |    67748
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    Country              |    US
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    Telephone            |    785-672-4727
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    Fax                  |    785-672-4757
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Provider Business Mailing Address
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    Address Line         |    103 CENTER AVE 
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    City                 |    OAKLEY
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    State                |    KS
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    Zip                  |    67748
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     KEZIA  SCHWEITERMAN 
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    Credential           |    PHARMD
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    Telephone            |    785-672-4627
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3336C0003X
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    Taxonomy Name        |    Community/Retail Pharmacy
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    License Number       |    210079
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    License Number State |    KS
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Taxonomy #2
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    
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    License Number State |    
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