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General NPI Number Information
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NPI Number | 1356487912
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Entity Type | Organization
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Legal Business Name | VIAN DRUG COMPANY LLC
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 401 S THORNTON ST
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City | VIAN
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State | OK
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Zip | 74962
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Country | US
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Telephone | 918-773-8111
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Fax | 918-773-5110
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Provider Business Mailing Address
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Address Line | PO BOX 465
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City | VIAN
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State | OK
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Zip | 74962
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Country | US
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Telephone | 918-773-8111
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Fax | 918-773-5110
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Authorized Official
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Title or Position | OWNER/PHARMACIST
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Name | JASON DANIEL CARTER
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Credential | PHARMD.
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Telephone | 718-773-8111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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 #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 342125
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License Number State | OK
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