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Organization
WACO OCD INC
Active
Organization
WACO OCD INC
Active
Other names
Old Corner Drug Waco
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN WILLIAMS (OWNER VICE PRESIDENT)
(254) 300-5590
Entity
Organization
Contact information
Practice address
6612 W HIGHWAY 84, WOODWAY, TX 76712-6143
(254) 300-5590
(254) 300-5591
Mailing address
PO BOX 155293, WACO, TX 76715-5293
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
08/02/2021
Last updated
05/24/2022
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