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General NPI Number Information
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NPI Number | 1679880512
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Entity Type | Organization
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Legal Business Name | OKEY PHARMACY LLC
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Dates
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Enumeration Date | 09/13/2010
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Last Update Date | 05/13/2015
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Provider Practice Location Address
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Address Line | 1515 N CLASSEN BLVD STE. 101
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City | OKLAHOMA CITY
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State | OK
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Zip | 73106-6611
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Country | US
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Telephone | 405-604-9085
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Fax | 405-604-9122
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Provider Business Mailing Address
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Address Line | 1515 N CLASSEN BLVD STE. 101
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City | OKLAHOMA CITY
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State | OK
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Zip | 73106-6611
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Country | US
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Telephone | 405-604-9085
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Fax | 405-604-9122
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | OKEY NWOKOLO
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Credential | MS
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Telephone | 405-232-0529
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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 | 15601
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License Number State | OK
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