Organization
ELIZABETH CREW PLLC
Active
Other names
Cotton County Drug
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH CREW (OWNER/MANAGER)
(580) 875-6161
Entity
Organization
Contact information
Practice address
619 E MISSOURI ST, WALTERS, OK 73572-1605
(580) 875-6161
(580) 875-6363
Mailing address
619 E MISSOURI ST, WALTERS, OK 73572-1605
(580) 875-6161
(580) 875-6363
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
65-6426
OK
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200304950A
—
OK
01
—
2126279
PK
—
Enumeration date
09/24/2010
Last updated
09/19/2025
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