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General NPI Number Information
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NPI Number | 1730102773
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Entity Type | Organization
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Legal Business Name | ECONOMY PHARMACY INC
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 07/13/2007
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Provider Practice Location Address
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Address Line | 104 N 35TH ST
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City | MUSKOGEE
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State | OK
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Zip | 74401-2159
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Country | US
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Telephone | 918-682-2714
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Fax | 918-682-2715
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Provider Business Mailing Address
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Address Line | 3414 W OKONULGEE
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City | MUSKOGEE
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State | OK
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Zip | 74401
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN WATSON
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Credential | RPH
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Telephone | 918-682-7765
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 45065
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License Number State | OK
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