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General NPI Number Information
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NPI Number | 1801779731
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Entity Type | Organization
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Legal Business Name | DOUGS PHARMACY, LLC
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Dates
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Enumeration Date | 07/29/2025
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 2404 NW 178TH ST STE F
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City | EDMOND
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State | OK
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Zip | 73012-4565
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Country | US
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Telephone | 405-285-3684
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Fax | 405-960-3684
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Provider Business Mailing Address
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Address Line | 2271 PEACOCK DR
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City | EDMOND
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State | OK
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Zip | 73012-3154
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Country | US
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Telephone | 405-812-3684
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DOUGLAS RAY HACKING
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Credential | PHARMD MBA
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Telephone | 405-812-3684
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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 |
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License Number State |
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