# GUARDIAN PHARMACY OF OKLAHOMA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Boomer Solutions
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083084768
- **Authorized official:** KYLE SIMMONS (CO-PRESIDENT)
- **Authorized official phone:** (877) 774-3706

## Contact information

- **Practice address:** 310 S 1ST ST, EUFAULA, OK 74432-3202
- **Practice address phone:** (877) 774-3706
- **Practice address fax:** (888) 852-2946
- **Mailing address:** PO BOX 11407, DEPT \# 2610, BIRMINGHAM, AL 35246-2610
- **Mailing address phone:** (404) 810-0089
- **Mailing address fax:** (404) 810-0094

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 487429 | OK | Yes |

## Other

- **Enumeration date:** 10/07/2015
- **Last updated:** 09/19/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200611770A | — | OK |
| 01 | — | 2154687 | PK | — |