# BARRETT DRUG LTC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396566097
- **Authorized official:** TROY SIMONS (PRESIDENT)
- **Authorized official phone:** (405) 742-8099

## Contact information

- **Practice address:** 410 W EDMOND RD, EDMOND, OK 73003
- **Practice address phone:** (405) 341-1504
- **Practice address fax:** (405) 341-1506
- **Mailing address:** 410 W EDMOND RD, EDMOND, OK 73003
- **Mailing address phone:** (405) 341-1504
- **Mailing address fax:** (405) 341-1506

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 10/24/2024
- **Last updated:** 10/25/2024