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General NPI Number Information
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NPI Number | 1285866335
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Entity Type | Organization
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Legal Business Name | RICKS PHARMACY INC
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Dates
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Enumeration Date | 08/21/2009
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Last Update Date | 08/12/2021
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Provider Practice Location Address
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Address Line | 811 W RANDOLPH AVE
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City | ENID
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State | OK
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Zip | 73701-3834
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Country | US
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Telephone | 580-237-1535
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Fax | 580-237-0688
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Provider Business Mailing Address
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Address Line | 811 W RANDOLPH AVE
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City | ENID
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State | OK
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Zip | 73701-3834
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Country | US
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Telephone | 580-237-1535
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Fax | 580-237-0688
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Authorized Official
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Title or Position | PHARMACIST/OWNER
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Name | RICK HILL
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Credential |
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Telephone | 580-237-1535
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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 | 5-5462
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License Number State | OK
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