# NEWBERRY EXPRESS PHARMACY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NEWBERRY EXPRESS PHARMACY, LLC
- **Other names:** Newberry Express Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1790477859
- **Legal business name:** NEWBERRY EXPRESS PHARMACY, LLC
- **Authorized official:** RYAN JAY RITTER D.PH (OWNER)
- **Authorized official phone:** (580) 889-0230

## Contact information

- **Practice address:** 801 S BROADWAY ST, MARLOW, OK 73055-3433
- **Practice address phone:** (580) 658-3784
- **Practice address fax:** (580) 658-3725
- **Mailing address:** 744 S MISSISSIPPI AVE, ATOKA, OK 74525-3355
- **Mailing address phone:** (580) 889-3353
- **Mailing address fax:** (580) 889-3060

## Taxonomy

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

## Other

- **Enumeration date:** 05/25/2023
- **Last updated:** 05/25/2023