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BRODERICK ENTERPRISES LLC NPI 1073091070


NPI Information

NPI: 1073091070
Provider Name: BRODERICK ENTERPRISES, LLC

Doing Business As: MCCORTNEY'S FAMILY PHARMACY & COMPOUNDING CENTER

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
711 E 9TH ST
ADA, OK
ZIP 74820
Phone: (580) 332-3344
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BRODERICK ENTERPRISES, LLC is a community/retail pharmacy pharmacy in Ada, OK. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. BRODERICK ENTERPRISES, LLC NPI is 1073091070. The provider is registered as an organization entity type.
The provider Is Doing Business As Mccortney's Family Pharmacy & Compounding Center.

The provider's business location address is:

711 E 9TH ST
ADA, OK
ZIP 74820-807
Phone: (580) 332-3344
Fax: (580) 332-3616

The provider's authorized official is Zack Broderick .
The authorized official title is Pharmacist/ower and has the following contact phone number (580) 332-3344.

The enumeration date for this NPI number is 8/1/2018 and was last updated on 11/27/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0004XPharmacyCompounding PharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy23-8228OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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