Crescent Drug and Apothecary LLC

Organization Active NPI Long Term Care Pharmacy · Wynnewood, OK

NPI 1215643226 · NPPES record last updated Jan 24, 2023

Key facts

NPI
1215643226
Entity type
Organization (NPI type 2)
Primary specialty
Long Term Care Pharmacy 3336L0003X
Legal business name
CRESCENT DRUG AND APOTHECARY LLC
Practice address
116 S Dean a McGee Ave
Wynnewood, OK 73098-7822
Phone
(405) 665-4115
Fax
(405) 665-5666
NPI assigned
Jan 24, 2023
Organization subpart
No

Authorized official

Name
Rory Forinash
Title
Owner
Phone
(405) 212-3177

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Crescent Drug and Apothecary LLC (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Yes

Addresses

Primary practice location

116 S Dean a McGee Ave
Wynnewood, OK 73098-7822

Mailing address

116 S Dean a McGee Ave
Wynnewood, OK 73098-7822
Phone (405) 665-4115

Other providers in Wynnewood, OK

All providers in Wynnewood, OK · Long Term Care Pharmacy in Oklahoma

Sources for this page

Verify at the official NPI Registry.