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General NPI Number Information
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NPI Number | 1144227166
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Entity Type | Organization
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Legal Business Name | CAMPBELL DRUG INCORPORATED
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Dates
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Enumeration Date | 07/05/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 406 E HALL OF FAME AVE SUITE 100A
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City | STILLWATER
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State | OK
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Zip | 74075-5428
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Country | US
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Telephone | 405-707-3005
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Fax | 405-707-3033
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Provider Business Mailing Address
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Address Line | 406 E HALL OF FAME AVE SUITE 100A
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City | STILLWATER
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State | OK
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Zip | 74075-5428
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Country | US
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Telephone | 405-707-3005
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Fax | 405-707-3033
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Authorized Official
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Title or Position | PHARMACIST/OWNER
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Name | DR. MAURY LEE CAMPBELL
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Credential | D.PH
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Telephone | 405-707-3005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 5294220001
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 84901
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License Number State | OK
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