Organization
LARRY M ADAMS
Active
Other names
BARRETT DRUG CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY ADAMS (OWNER)
(405) 341-1504
Entity
Organization
Contact information
Practice address
410 W EDMOND RD, EDMOND, OK 73003-5602
(405) 341-1504
(405) 341-1506
Mailing address
410 W EDMOND RD, EDMOND, OK 73003-5602
(405) 341-1504
(405) 341-1506
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
13790
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100235760A
—
OK
01
—
3702265
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/20/2006
Last updated
02/12/2013
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