Organization
ARDMORE FAMILY PHARMACY
Active
Other names
Reed Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PETER SAAD (PRESIDENT)
(416) 825-4430
Entity
Organization
Contact information
Practice address
814 W BROADWAY ST, ARDMORE, OK 73401-4527
(580) 223-7636
(580) 223-0320
Mailing address
814 W BROADWAY ST, ARDMORE, OK 73401-4527
(580) 223-7636
(580) 223-0320
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
123470
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12-5354
OK STATE BOARD
OK
01
—
3717533
NCPDP
—
05
—
90003923950
—
OK
01
—
OKB5702
MASS IMMUNIZATION ROSTER BILLER
—
Enumeration date
10/03/2006
Last updated
09/20/2022
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