Organization · Type 2 NPI

Broderick Enterprises, LLC

Community/Retail Pharmacy · Ada, OK

NPI number 1073091070 Active

Practice location

711 E 9th St
Ada, OK 74820-3807

Fax (580) 332-3616

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	23-8228 (OK)
Compounding Pharmacy	3336C0004X	None listed

Community/Retail Pharmacy: 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 …

2 other providers at this address

Other community/retail pharmacy providers in Ada

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NPI record

NPI: 1073091070
Entity type: Organization (Type 2)
Issued: Aug 1, 2018
Last updated: Oct 3, 2025
Status: Active

Other names

<unavail>
McCortney's Family Pharmacy & Compounding Center · doing business as
Vintage Drug Company · doing business as

Authorized official

Zack Broderick, PharmD
Pharmacist/ower
(580) 332-3344

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1073091070

Broderick Enterprises, LLC's National Provider Identifier is 1073091070, issued on Aug 1, 2018. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Ada, OK. The record was last updated on Oct 3, 2025.