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General NPI Number Information
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NPI Number | 1255384426
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Entity Type | Organization
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Legal Business Name | OU MEDICINE INC.
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 825 NE 10TH ST STE 2A
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City | OKLAHOMA CITY
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State | OK
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Zip | 73104-5417
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Country | US
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Telephone | 405-271-6446
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Fax | 405-271-6447
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Provider Business Mailing Address
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Address Line | 825 NE 10TH ST STE 2A
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City | OKLAHOMA CITY
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State | OK
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Zip | 73104-5417
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Country | US
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Telephone | 405-271-6446
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Fax | 405-271-6447
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Authorized Official
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Title or Position | DIRECTOR OF RETAIL PHARMACY
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Name | LAURA PETTY
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Credential |
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Telephone | 405-808-1771
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty 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 | 3336M0002X
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Taxonomy Name | Mail Order 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 | 14553
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License Number State | OK
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