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General NPI Number Information
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NPI Number | 1740350073
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Entity Type | Organization
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Legal Business Name | SHERRYS DISCOUNT PHARMACY INC
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 220 S LITTLER AVE
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City | EDMOND
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State | OK
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Zip | 73034-3856
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Country | US
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Telephone | 405-341-1683
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Fax | 405-359-1936
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Provider Business Mailing Address
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Address Line | PO BOX 1160
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City | EDMOND
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State | OK
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Zip | 73083-1160
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Country | US
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Telephone | 405-341-1683
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Fax | 405-359-1936
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | ANGELA MARLER
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Credential |
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Telephone | 405-341-1683
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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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Taxonomy #2
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 12558
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License Number State | OK
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