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General NPI Number Information
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NPI Number | 1740101807
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Entity Type | Organization
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Legal Business Name | CUSTOM PHARMACY INNOVATIONS INC
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Dates
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Enumeration Date | 07/23/2026
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Last Update Date | 07/24/2026
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Provider Practice Location Address
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Address Line | 10911 NE 23RD ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73141-6029
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Country | US
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Telephone | 405-769-8585
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Fax | 405-769-8787
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Provider Business Mailing Address
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Address Line | PO BOX 489
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City | NICOMA PARK
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State | OK
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Zip | 73066-0489
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Country | US
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Telephone | 405-769-8585
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Fax | 405-769-8787
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Authorized Official
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Title or Position | MANAGING OWNER
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Name | FARHANA KABIR
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Credential |
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Telephone | 405-769-8585
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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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