WACO OCD INC NPI 1922772193

NPI Details

WACO OCD INC is a pharmacy in Woodway, TX. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. WACO OCD INC NPI is 1922772193. The provider is registered as an organization entity type.
The provider Is Doing Business As Old Corner Drug Waco.

The provider's business location address is:

6612 W HIGHWAY 84
WOODWAY, TX
ZIP 76712-143
Phone: (254) 300-5590
Fax: (254) 300-5591

The provider's authorized official is Jonathan Williams .
The authorized official title is Owner Vice President and has the following contact phone number (254) 300-5590.

The CLIA number assigned to this NPI record is 45D2261175 - pharmacy with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Administration of influenza virus vaccine (HCPCS:G0008)
• Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
• Fee covid-19 vac 14 res (HCPCS:0134A)

The enumeration date for this NPI number is 8/2/2021 and was last updated on 5/24/2022.

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: