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General NPI Number Information
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NPI Number | 1295885515
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Entity Type | Organization
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Legal Business Name | RALPHS PHARMACY INC.
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 03/24/2015
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Provider Practice Location Address
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Address Line | 211 N BROADWAY ST
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City | TECUMSEH
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State | OK
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Zip | 74873-3227
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Country | US
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Telephone | 405-598-3729
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Fax | 405-598-1329
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Provider Business Mailing Address
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Address Line | 211 N BROADWAY ST
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City | TECUMSEH
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State | OK
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Zip | 74873-3227
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Country | US
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Telephone | 405-598-3729
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Fax | 405-598-1329
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Authorized Official
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Title or Position | OWNER
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Name | SCOTT TUCKER
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Credential |
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Telephone | 405-598-3729
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 102557
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License Number State | OK
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