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General NPI Number Information
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NPI Number | 1356421218
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Entity Type | Individual
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Provider Name | HEITH ALLEN CROSBY PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 5401 S SHERIDAN RD SUITE 202
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City | TULSA
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State | OK
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Zip | 74145-7531
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Country | US
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Telephone | 918-622-2700
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Fax | 918-622-2701
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Provider Business Mailing Address
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Address Line | 1808 S CYPRESS AVE
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City | BROKEN ARROW
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State | OK
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Zip | 74012-6000
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Country | US
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Telephone | 918-622-2700
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Fax | 918-622-2701
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1835G0303X
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Taxonomy Name | Geriatric Pharmacist
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License Number | 11559
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 11559
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License Number State | OK
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