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General NPI Number Information
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NPI Number | 1548872369
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Entity Type | Organization
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Legal Business Name | APEX PHARMACY LLC
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Dates
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Enumeration Date | 08/21/2020
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Last Update Date | 11/19/2021
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Provider Practice Location Address
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Address Line | 4400 GRANT BLVD
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City | YUKON
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State | OK
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Zip | 73099-0037
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Country | US
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Telephone | 405-577-6775
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Fax | 405-577-6776
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Provider Business Mailing Address
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Address Line | 4400 GRANT BLVD
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City | YUKON
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State | OK
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Zip | 73099-0037
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Country | US
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Telephone | 405-577-6775
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Fax | 844-908-1423
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | TYLER CHRISTIAN DECKARD
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Credential | PHARMD
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Telephone | 405-426-0290
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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 |
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License Number State |
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