Organization
NEWBERRY EXPRESS PHARMACY-CLINICAL SERVICES
Active
Other names
NEWBERRY EXPRESS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GARY NEWBERRY D.PH. (OWNER)
(580) 658-6784
Entity
Organization
Contact information
Practice address
801 S BROADWAY ST, MARLOW, OK 73055-3433
(580) 658-3784
(580) 658-3725
Mailing address
801 S BROADWAY ST, MARLOW, OK 73055-3433
(580) 658-3784
(580) 658-3725
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
13-4170
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100244800A
—
OK
Enumeration date
07/02/2009
Last updated
07/31/2009
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