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General NPI Number Information
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NPI Number | 1245311943
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Entity Type | Organization
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Legal Business Name | STROUD DRUG INC
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 406 W MAIN ST
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City | STROUD
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State | OK
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Zip | 74079-3614
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Country | US
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Telephone | 918-968-2323
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Fax | 918-968-4231
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Provider Business Mailing Address
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Address Line | 406 W MAIN ST
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City | STROUD
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State | OK
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Zip | 74079-3614
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Country | US
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Telephone | 918-968-2323
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Fax | 918-968-4231
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Authorized Official
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Title or Position | STORE OWNER
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Name | BILL ASH
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Credential | BS
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Telephone | 918-968-2323
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | 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 | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 31-6349
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License Number State | OK
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