Organization
R & L MARTIN LLC
Active
Other names
Barrett Drug Center
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY MARTIN (MANAGING MEMBER)
(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
1-6725
OK
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100235760A
—
OK
01
—
2152470
PK
—
Enumeration date
06/16/2014
Last updated
06/17/2016
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