Organization
BAKER EXPRESS PHARMACY, LLC
Active
Other names
BAKER EXPRESS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN JAY RITTER (OWNER)
(580) 889-3353
Entity
Organization
Contact information
Practice address
3344 N HWY 81, DUNCAN, OK 73533-8914
(580) 255-3784
(580) 252-6278
Mailing address
744 S MISSISSIPPI AVE, ATOKA, OK 74525-3355
(580) 255-3784
(580) 252-6278
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
135150
OK
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100244790A
—
OK
05
—
100244790B
—
OK
Enumeration date
02/28/2007
Last updated
02/10/2022
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