Organization
NW BARTLESVILLE LLC
Active
Other names
Express Rx of Bartlesville
Organization subpart
No
Provider details
NPI number
Authorized official
UMAR FAROOQ (PRESIDENT)
(501) 392-8680
Entity
Organization
Contact information
Practice address
143 SE WASHINGTON BLVD, BARTLESVILLE, OK 74006-2334
(918) 876-4204
(918) 876-4206
Mailing address
PO BOX 34407, PMB 53760, LITTLE ROCK, AR 72203-4407
(501) 534-4459
(501) 534-4460
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
9-6509
OK
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200532030A
—
OK
01
—
2144292
PK
—
Enumeration date
11/19/2013
Last updated
11/18/2025
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