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General NPI Number Information
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NPI Number | 1922445089
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Entity Type | Organization
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Legal Business Name | METRO PHARMACY LLC
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Dates
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Enumeration Date | 05/30/2013
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Last Update Date | 03/29/2016
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Provider Practice Location Address
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Address Line | 125 E 3RD ST SUITE E
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City | EDMOND
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State | OK
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Zip | 73034-3821
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Country | US
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Telephone | 405-513-8210
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Fax | 405-513-8217
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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 | 405-513-8210
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Fax | 405-513-8217
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Authorized Official
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Title or Position | MEMBER
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Name | MS. SHERRY ATWOOD
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Credential | RPH
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Telephone | 405-919-5150
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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 | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number | 1-6310
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License Number State | OK
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