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General NPI Number Information
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NPI Number | 1861854713
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Entity Type | Organization
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Legal Business Name | AFFORDABLE PHARMACY AND HEALTH FOOD CENTER LLC
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Dates
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Enumeration Date | 03/21/2016
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Last Update Date | 11/03/2021
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Provider Practice Location Address
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Address Line | 2636 SW 28TH ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73108-5823
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Country | US
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Telephone | 405-636-4091
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Fax | 405-353-7023
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Provider Business Mailing Address
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Address Line | 2636 SW 28TH ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73108-5823
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Country | US
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Telephone | 405-636-4091
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Fax | 405-353-7023
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Authorized Official
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Title or Position | MANAGER
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Name | I NGUYEN
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Credential |
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Telephone | 405-636-4091
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | 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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 17848
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License Number State | OK
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