Organization
RJRX3 LLC
Active
Other names
Heritage Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN RITTER (OWNER AND MANAGER)
(580) 889-3353
Entity
Organization
Contact information
Practice address
1309 S MAIN ST, KINGFISHER, OK 73750-4402
(405) 375-6300
(405) 375-6340
Mailing address
744 S MISSISSIPPI AVE, ATOKA, OK 74525-3355
(405) 375-6300
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
54-8007
OK
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200740440A
—
OK
05
—
200740440B
—
OK
01
—
2172251
PK
—
Enumeration date
11/02/2017
Last updated
09/19/2025
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