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General NPI Number Information
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NPI Number | 1538323340
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Entity Type | Organization
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Legal Business Name | VALLEY VIEW REGIONAL HOSPITAL PHARMACY
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Dates
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Enumeration Date | 07/11/2008
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Last Update Date | 03/20/2009
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Provider Practice Location Address
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Address Line | 430 N MONTE VISTA ST
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City | ADA
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State | OK
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Zip | 74820-4610
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Country | US
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Telephone | 580-421-1500
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Fax |
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Provider Business Mailing Address
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Address Line | 430 N MONTE VISTA ST
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City | ADA
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State | OK
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Zip | 74820-4610
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Country | US
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Telephone | 580-421-1500
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | DR. PAUL D STONE
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Credential | PHARM D
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Telephone | 580-421-1500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 23-3601
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License Number State | OK
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