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CDL CENTRAL DRUG INC NPI 1902313604


NPI Information

NPI: 1902313604
Provider Name: CDL CENTRAL DRUG INC
Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

CLIA Number: 37D2246702

Address:
722 S MAIN ST
STILLWATER, OK
ZIP 74074
Phone: (405) 372-6120
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CDL CENTRAL DRUG INC is a long term care pharmacy pharmacy in Stillwater, OK. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. CDL CENTRAL DRUG INC NPI is 1902313604. The provider is registered as an organization entity type.

The provider's business location address is:

722 S MAIN ST
STILLWATER, OK
ZIP 74074
Phone: (405) 372-6120
Fax: (405) 372-2833

The provider's authorized official is Stephen Bayer .
The authorized official title is President/pic and has the following contact phone number (405) 372-6120.

The CLIA number assigned to this NPI record is 37D2246702 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/3/2018 and was last updated on 6/27/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0004XPharmacyCompounding PharmacyNo
33336L0003XPharmacyLong Term Care Pharmacy8-6924OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12175279OTHERPK
2N/A FOR THIS NCPDPMEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.