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General NPI Number Information
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NPI Number | 1548306368
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Entity Type | Organization
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Legal Business Name | FIKES PHARMACY, INC.
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 05/15/2023
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Provider Practice Location Address
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Address Line | 101 E. 2ND STREET
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City | GRANDFIELD
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State | OK
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Zip | 73546
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Country | US
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Telephone | 580-479-5696
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Fax | 580-479-5662
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Provider Business Mailing Address
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Address Line | PO BOX 159
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City | GRANDFIELD
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State | OK
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Zip | 73546-0159
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Country | US
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Telephone | 580-479-5696
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Fax | 580-479-5662
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Authorized Official
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Title or Position | OWNER
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Name | AMY B FIKES
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Credential |
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Telephone | 580-479-5696
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 42-4672
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License Number State | OK
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