Healthcare Provider Details

I. General information

NPI: 1740350073
Provider Name (Legal Business Name): SHERRYS DISCOUNT PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 S LITTLER AVE
EDMOND OK
73034-3856
US

IV. Provider business mailing address

PO BOX 1160
EDMOND OK
73083-1160
US

V. Phone/Fax

Practice location:
  • Phone: 405-341-1683
  • Fax: 405-359-1936
Mailing address:
  • Phone: 405-341-1683
  • Fax: 405-359-1936

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number12558
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ANGELA MARLER
Title or Position: OFFICE MANAGER
Credential:
Phone: 405-341-1683