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General NPI Number Information
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NPI Number | 1366945842
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Entity Type | Organization
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Legal Business Name | PHARMORE SPECIALTY PHARMACIES LLC
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Dates
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Enumeration Date | 03/12/2018
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Last Update Date | 11/08/2021
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Provider Practice Location Address
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Address Line | 3330 NW 56TH ST STE 100
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City | OKLAHOMA CITY
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State | OK
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Zip | 73112-4426
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Country | US
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Telephone | 405-604-6861
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Fax | 405-605-3588
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Provider Business Mailing Address
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Address Line | 3330 NW 56TH ST STE 100
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City | OKLAHOMA CITY
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State | OK
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Zip | 73112-4426
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Country | US
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Telephone | 405-604-6861
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Fax | 405-605-3588
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Authorized Official
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Title or Position | MANAGING MEMBER/OWNER
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Name | MISS MEGAN DANIELLE RAY
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Credential | RPHT
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Telephone | 405-210-1799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding 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 | 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 #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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