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General NPI Number Information
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NPI Number | 1376979625
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Entity Type | Individual
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Provider Name | GEORGE C MICHALOPULOS RPH
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Gender | Male
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Dates
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Enumeration Date | 09/18/2013
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | CLAREMORE COMPOUNDING CENTER 1151 N. LYNN PLACE BLVD
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City | CLAREMORE
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State | OK
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Zip | 74017
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Country | US
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Telephone | 918-283-3784
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Fax | 918-343-1316
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Provider Business Mailing Address
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Address Line | 7959 S. HUDSON PLACE
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City | TULSA
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State | OK
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Zip | 74136
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Country | US
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Telephone | 918-876-7899
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 10511
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License Number State | OK
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