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General NPI Number Information
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NPI Number | 1922102151
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Entity Type | Organization
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Legal Business Name | CARTER HEALTHCARE PHARMACY AND DME OF OKLAHOMA, LLC
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Dates
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Enumeration Date | 09/08/2006
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 2800 COLTRANE PL STE 3
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City | EDMOND
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State | OK
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Zip | 73034-6795
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Country | US
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Telephone | 405-947-7700
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Fax | 405-974-7300
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Provider Business Mailing Address
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Address Line | 7725 W RENO AVE STE 332
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City | OKLAHOMA CITY
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State | OK
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Zip | 73127-9799
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Country | US
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Telephone | 405-947-7700
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Fax | 405-974-7300
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL/PRESIDENT
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Name | JUSTIN CARTER
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Credential |
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Telephone | 405-947-7700
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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 | 1-4516
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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