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NPI Code Detail

MEDICARE: JACEY COX

MEDICARE: JACEY COX
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist16221OK

General Provider Information

NPI Number : 1558727206
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACEY COX
Provider Business Mailing Address
First Line : 7930 NW EXPRESSWAY
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73132-1559
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7930 NW EXPRESSWAY
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73132-1559
Country : US
Telephone Number : 405-773-5069
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2016
Last Update Date : 01/11/2016

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Directions to “ JACEY COX ” Practice Location

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