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General NPI Number Information
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NPI Number | 1184743668
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Entity Type | Organization
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Legal Business Name | SUGGS DRUGS INC.
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 25 S PARK ST
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City | SAPULPA
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State | OK
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Zip | 74066-4219
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Country | US
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Telephone | 918-224-3883
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Fax | 918-227-3315
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Provider Business Mailing Address
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Address Line | 25 S PARK ST
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City | SAPULPA
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State | OK
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Zip | 74066-4219
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Country | US
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Telephone | 918-224-3883
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Fax | 918-227-3315
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Authorized Official
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Title or Position | OWNER
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Name | MR. JOHN WARD SUGGS
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Credential | D. PH.
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Telephone | 918-224-3883
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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 | 114597
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License Number State | OK
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