# CDL CENTRAL DRUG INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Central Drug LTC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902313604
- **Authorized official:** STEPHEN BAYER (PRESIDENT/PIC)
- **Authorized official phone:** (405) 372-6120

## Contact information

- **Practice address:** 722 S MAIN ST, STILLWATER, OK 74074
- **Practice address phone:** (405) 372-6120
- **Practice address fax:** (405) 372-2833
- **Mailing address:** 1220 W 12TH AVE, STILLWATER, OK 74074-4400
- **Mailing address phone:** (405) 372-6120
- **Mailing address fax:** (405) 372-2833

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 8-6924 | OK | Yes |

## Other

- **Enumeration date:** 01/03/2018
- **Last updated:** 10/23/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2175279 | PK | — |
| 05 | — | N/A FOR THIS NCPDP | — | OK |