Organization
GADDY DISCOUNT DRUG INC
Active
Other names
Gaddy Drug, GADDYS DISCOUNT DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT AUSTIN YATES (PRESIDENT)
(918) 682-5584
Entity
Organization
Contact information
Practice address
1126 W BROADWAY ST, MUSKOGEE, OK 74401-6246
(918) 682-5584
(918) 682-5585
Mailing address
1126 W BROADWAY ST, MUSKOGEE, OK 74401-6246
(918) 682-5584
(918) 682-5585
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
4-5023
OK
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100232790A
—
OK
05
—
100232790B
—
OK
01
—
2073505
PK
—
Enumeration date
07/15/2006
Last updated
04/03/2026
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