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General NPI Number Information
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NPI Number | 1669163457
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Entity Type | Organization
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Legal Business Name | THUNDER DISCOUNT DRUG LLC
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Dates
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Enumeration Date | 05/15/2023
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Last Update Date | 05/15/2023
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Provider Practice Location Address
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Address Line | 2296 W MAIN ST
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City | NORMAN
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State | OK
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Zip | 73069-6462
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Country | US
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Telephone | 405-759-5592
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Fax | 405-759-5593
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Provider Business Mailing Address
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Address Line | 2296 W MAIN ST
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City | NORMAN
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State | OK
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Zip | 73069-6462
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Country | US
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Telephone | 405-759-5592
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Fax | 405-759-5593
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Authorized Official
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Title or Position | PHARMACIST
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Name | RORY FORINASH
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Credential | PHARM D
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Telephone | 405-212-3177
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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