Organization
CUDD COMPANY LLC
Active
Other names
Asbury Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA ANNETTE CUDD (CEO)
(405) 570-9496
Entity
Organization
Contact information
Practice address
3401 N MAY AVE STE B, OKLAHOMA CITY, OK 73112-6904
(405) 843-6691
(405) 848-3591
Mailing address
3401 N MAY AVE STE B, OKLAHOMA CITY, OK 73112-6953
(405) 843-6691
(405) 848-3591
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1-7168
OK
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100232840A
—
OK
05
—
100232840B
—
OK
01
—
2151527
PK
—
Enumeration date
10/03/2006
Last updated
12/09/2021
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