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Contact Information

LARRY D BRIM
1151 N LYNN RIGGS BLVD
CLAREMORE, OK74017-3068
 Phone: 918-283-3784
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for LARRY D BRIM · (Male)

NPI Number 1003564303
Status Active
Credentials
Entity Individual
Enumeration date 03/15/2022
Last updated 03/15/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • OK License # 11352
  • OK Medicaid 100245990A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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