Organization
BENNETT DRUG INC
Active
Other names
LIBERTY DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN K HARRISON (OWNER)
(580) 654-1111
Entity
Organization
Contact information
Practice address
15 W MAIN ST, CARNEGIE, OK 73015
(580) 654-1111
(580) 654-1229
Mailing address
PO BOX 362, CARNEGIE, OK 73015-0362
(580) 654-1111
(580) 654-1229
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
205295
OK
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100236670A
—
OK
05
—
100236670B
—
OK
01
—
2072696
PK
—
Enumeration date
08/10/2006
Last updated
07/01/2025
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