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General NPI Number Information
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NPI Number | 1396660197
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Entity Type | Organization
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Legal Business Name | COMPASSION CLINIC PHARMACY
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Dates
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Enumeration Date | 08/11/2026
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Last Update Date | 08/11/2026
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Provider Practice Location Address
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Address Line | 1340 S 13TH ST
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City | KINGFISHER
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State | OK
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Zip | 73750-4217
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Country | US
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Telephone | 405-375-4283
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 255
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City | KINGFISHER
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State | OK
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Zip | 73750-0255
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Country | US
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Telephone | 580-614-1293
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Fax |
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Authorized Official
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Title or Position | PIC
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Name | ZACHARY BRACK
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Credential |
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Telephone | 580-614-1293
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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