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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