Organization
GUARDIAN PHARMACY OF OKLAHOMA LLC
Active
Other names
Boomer Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE SIMMONS (CO-PRESIDENT)
(877) 774-3706
Entity
Organization
Contact information
Practice address
310 S 1ST ST, EUFAULA, OK 74432-3202
(877) 774-3706
(888) 852-2946
Mailing address
PO BOX 11407, DEPT # 2610, BIRMINGHAM, AL 35246-2610
(404) 810-0089
(404) 810-0094
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
487429
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200611770A
—
OK
01
—
2154687
PK
—
Enumeration date
10/07/2015
Last updated
09/19/2025
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