Zack Langdon Broderick, PharmD
Pharmacist in Ada, OK. Individual provider (NPI-1).
NPI number1992275465
StatusActive
Last updated in NPPESNov 27, 2018
Details
- NPI
- 1992275465
- Entity type
- Individual (NPI-1)
- Name
- Zack Langdon Broderick
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 27, 2018
- Last updated
- Nov 27, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 15429 | OK | Yes |
Practice location
711 E 9th StAda, OK 74820-3807
Phone 580-332-3344 · Fax 580-332-3616
Mailing address
711 E 9th StAda, OK 74820-3807
Phone 580-332-3344 · Fax 580-332-3616
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