Cotton County Drug

LBN: Elizabeth Crew Pllc
Cotton County Drug is an health care organization with primary practice located at 619 E Missouri St , Walters OK 73572-1605. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Elizabeth Crew Pllc can be contacted via phone (580) 875-6161, or through Crew, Elizabeth via phone (580) 875-6161.

Contact Information

Primary practice address
619 E Missouri St Walters OK 73572-1605
Phone: (580) 875-6161
Fax: (580) 875-6363
Website:
Map and Directions
Authorized official contact:
Name: Crew, Elizabeth
Phone: (580) 875-6161

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 65-6426 Oklahoma
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1922316959
LBN Legal business name Elizabeth Crew Pllc
DBA Doing business as Cotton County Drug
Authorized official Crew, Elizabeth
Entity Organization
Organization subpart 1 No
Enumeration date Sep 24th, 2010
Last updated Sep 24th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922316959 NPPES
Oklahoma MEDICAID 200304950A
Oklahoma Other 2126279

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