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General NPI Number Information
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NPI Number | 1396164935
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Entity Type | Organization
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Legal Business Name | PHYSICIANS & SURGEONS PHARMACY
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Dates
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Enumeration Date | 04/10/2014
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Last Update Date | 04/10/2014
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Provider Practice Location Address
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Address Line | 900 N PORTER AVE SUITE 101
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City | NORMAN
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State | OK
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Zip | 73071-6425
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Country | US
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Telephone | 405-364-5222
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Fax | 405-364-7076
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Provider Business Mailing Address
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Address Line | 900 N PORTER AVE SUITE 101
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City | NORMAN
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State | OK
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Zip | 73071-6425
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Country | US
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Telephone | 405-364-5222
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Fax | 405-364-7076
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | SHAUNA BETH STINNETT
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Credential | DPH
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Telephone | 405-364-5222
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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 | 7-1771
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License Number State | OK
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