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NPI 1467661413

NPI 1467661413 : JIMRX, PC : OKLAHOMA CITY, OK

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General NPI Number Information
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    NPI Number           |    1467661413
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    Entity Type          |    Organization 
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    Legal Business Name  |    JIMRX, PC 
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Dates
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    Enumeration Date     |    05/22/2007
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    Last Update Date     |    09/28/2022
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Provider Practice Location Address
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    Address Line         |    2300 EXCHANGE AVE 
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    City                 |    OKLAHOMA CITY
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    State                |    OK
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    Zip                  |    73108-2436
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    Country              |    US
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    Telephone            |    405-235-4242
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    Fax                  |    405-239-7507
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Provider Business Mailing Address
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    Address Line         |    2300 EXCHANGE AVE 
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    City                 |    OKLAHOMA CITY
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    State                |    OK
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    Zip                  |    73108-2436
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    Country              |    US
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    Telephone            |    405-235-4242
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    Fax                  |    405-239-7507
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     JIM  RHYMER 
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    Credential           |    
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    Telephone            |    405-235-4242
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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       |    1-4174
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    License Number State |    OK
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