# CRESCENT DRUG AND APOTHECARY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215643226
- **Authorized official:** RORY FORINASH (OWNER)
- **Authorized official phone:** (405) 212-3177

## Contact information

- **Practice address:** 116 S DEAN A MCGEE AVE, WYNNEWOOD, OK 73098-7822
- **Practice address phone:** (405) 665-4115
- **Practice address fax:** (405) 665-5666
- **Mailing address:** 116 S DEAN A MCGEE AVE, WYNNEWOOD, OK 73098-7822
- **Mailing address phone:** (405) 665-4115
- **Mailing address fax:** (405) 665-5666

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 01/24/2023
- **Last updated:** 01/24/2023