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General NPI Number Information
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NPI Number | 1396381679
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Entity Type | Organization
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Legal Business Name | APOTHECARY ASSOCIATES LLC
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Dates
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Enumeration Date | 11/21/2019
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Last Update Date | 01/31/2020
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Provider Practice Location Address
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Address Line | 1315 N WASHINGTON ST STE 3
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City | WEATHERFORD
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State | OK
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Zip | 73096-2443
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Country | US
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Telephone | 580-302-6500
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Fax | 580-302-6501
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Provider Business Mailing Address
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Address Line | PO BOX 2090
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City | WEATHERFORD
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State | OK
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Zip | 73096-8090
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Country | US
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Telephone | 580-302-6500
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Fax | 580-302-6501
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Authorized Official
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Title or Position | PHARMACY OWNER/MANAGER
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Name | JOHNA K. ROOF
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Credential | D.PH.
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Telephone | 580-302-6500
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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 | 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 #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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