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General NPI Number Information
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NPI Number | 1386343499
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Entity Type | Organization
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Legal Business Name | THE APOTHECARY ROOM
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Dates
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Enumeration Date | 02/27/2023
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Last Update Date | 02/27/2023
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Provider Practice Location Address
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Address Line | 2000 E 15TH ST STE 100B
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City | EDMOND
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State | OK
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Zip | 73013-6680
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Country | US
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Telephone | 405-600-4600
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 E 15TH ST STE 100B
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City | EDMOND
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State | OK
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Zip | 73013-6680
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Country | US
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Telephone | 405-600-4600
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Fax |
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Authorized Official
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Title or Position | PHARMACY MANAGER/OWNER
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Name | JESSICA LEE MCMAKIN
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Credential | PHARM.D.
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Telephone | 405-600-4600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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