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General NPI Number Information
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NPI Number | 1942604905
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Entity Type | Organization
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Legal Business Name | SWOSU SCHOOL OF PHARMACY
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Dates
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Enumeration Date | 10/20/2014
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Last Update Date | 10/20/2014
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Provider Practice Location Address
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Address Line | 100 CAMPUS DR
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City | WEATHERFORD
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State | OK
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Zip | 73096-3001
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Country | US
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Telephone | 580-774-6878
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Fax |
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Provider Business Mailing Address
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Address Line | 100 CAMPUS DR
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City | WEATHERFORD
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State | OK
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Zip | 73096-3001
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Country | US
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Telephone | 580-774-6878
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Fax |
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Authorized Official
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Title or Position | PHARM CARE II LAB COORDINATOR
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Name | STEPHEN DRINNON
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Credential |
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Telephone | 580-302-4297
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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 | 28-1998
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License Number State | OK
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