Organization
CPII, LLC
Active
Other names
NextGenRx
Organization subpart
No
Provider details
NPI number
Authorized official
DERIL LEES (OWNER/PHARM.D.)
(918) 578-0031
Entity
Organization
Contact information
Practice address
811 W. NEW ORLEANS, STE 101, BROKEN ARROW, OK 74011
(918) 578-0031
(918) 524-9365
Mailing address
811 W. NEW ORLEANS, STE 101, BROKEN ARROW, OK 74011
(918) 578-0031
(918) 524-9365
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
2-7498
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2170211
PK
—
Enumeration date
07/28/2017
Last updated
07/28/2017
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