# BOOMER SOLUTIONS LLC

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

## Provider details

- **NPI number:** 1477876159
- **Authorized official:** KYLE SIMMONS PHARM D. (PHARMACY MANAGER)
- **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:** 310 S 1ST ST, EUFAULA, OK 74432-3202
- **Mailing address phone:** (877) 774-3706
- **Mailing address fax:** (888) 852-2946

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 48-6828 | OK | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 03/09/2010
- **Last updated:** 12/02/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200286150A | — | OK |
| 01 | — | 2124945 | PK | — |