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General NPI Number Information
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NPI Number | 1962708461
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Entity Type | Organization
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Legal Business Name | OU MEDICINE INC.
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Dates
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Enumeration Date | 01/31/2011
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 1200 CHILDRENS AVE STE 7300
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City | OKLAHOMA CITY
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State | OK
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Zip | 73104-4637
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Country | US
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Telephone | 405-271-1047
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Fax | 405-271-4301
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Provider Business Mailing Address
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Address Line | 1200 CHILDRENS AVE STE 7300
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City | OKLAHOMA CITY
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State | OK
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Zip | 73104-4637
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Country | US
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Telephone | 572-244-6224
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Fax | 572-244-9845
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Authorized Official
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Title or Position | DIRECTOR OF RETAIL PHARMACY
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Name | LAURA PETTY
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Credential |
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Telephone | 405-808-1771
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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 |
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License Number State |
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