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Broderick Enterprises, LLC — NPI 1073091070, Ada, OK | NPI Central

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OrganizationActive

Broderick Enterprises, LLC

NPI 1073091070 · Community/Retail Pharmacy · Ada, OK

Provider details

NPI number: 1073091070
Entity type: Organization
Primary specialty: Community/Retail PharmacySuppliers
Organization subpart: No
Authorized official: Zack Broderick, Pharmacist/Ower(580) 332-3344

Specialties & taxonomies

Community/Retail PharmacyPrimary3336C0003XLicense 23-8228 (OK)
Suppliers
Compounding Pharmacy3336C0004X
Suppliers

Practice location

711 E 9th St

Ada, OK 74820-3807

Phone: (580) 332-3344

Fax: (580) 332-3616

Approximate (ZIP-level) locationGet directions

More OK providers

Mailing address

711 E 9th St

Ada, OK 74820-3807

Other names (DBA / former)

Doing business as: Mccortney'S Family Pharmacy & Compounding Center
Doing business as: Vintage Drug Company

Registry dates

Enumerated: 2018-08-01
Last updated: 2025-10-03
Certified: 2025-10-03

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.