Larry Don Auld
Individual provider Active NPI Pharmacist · McAlester, OK
NPI 1154824902 · NPPES record last updated Mar 16, 2018
Key facts
- NPI
- 1154824902
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 10128 (OK)
- Practice address
- 1000 E Carl Albert Pkwy
McAlester, OK 74501-5121 - Phone
- (918) 426-7657
- Fax
- (918) 429-0794
- NPI assigned
- Mar 16, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10128 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past |
Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 10128 | OK | Yes |
Addresses
Primary practice location
1000 E Carl Albert Pkwy
McAlester, OK 74501-5121
Mailing address
1000 E Carl Albert Pkwy
McAlester, OK 74501-5121
Phone (918) 426-7657
Other providers in McAlester, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.