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General NPI Number Information
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NPI Number | 1235946351
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Entity Type | Organization
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Legal Business Name | WESTBURY EXPRESS PHARMACY OF OKC LLC
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Dates
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Enumeration Date | 12/12/2024
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 1600 S MORGAN RD STE A
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City | OKLAHOMA CITY
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State | OK
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Zip | 73128-7027
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Country | US
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Telephone | 405-914-2385
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Fax | 405-914-2386
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Provider Business Mailing Address
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Address Line | 1096 COUNTY STREET 2840
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City | POCASSET
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State | OK
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Zip | 73079-8220
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Country | US
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Telephone | 405-914-2385
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Fax | 405-914-2386
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Authorized Official
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Title or Position | OWNER
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Name | JOEL DAVENPORT
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Credential | PHARMD
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Telephone | 405-248-8455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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