Organization
BENNETT DRUG INC
Active
Other names
LIBERTY DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN K HARRISON DPH (OWNER)
(580) 654-1111
Entity
Organization
Contact information
Practice address
15 WEST MAIN STREET, CARNEGIE, OK 73015-0362
(580) 654-1111
(580) 654-1229
Mailing address
15 WEST MAIN ST, 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
202419
OK
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002366700B
—
OK
Enumeration date
01/23/2007
Last updated
05/24/2018
Update your record
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