Organization
CRESCENT DRUG AND APOTHECARY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RORY FORINASH PHARM D (PHARMACIST)
(405) 665-4115
Entity
Organization
Contact information
Practice address
116 S DEAN A MCGEE AVE, WYNNEWOOD, OK 73098-7822
(405) 665-4115
(405) 665-5666
Mailing address
116 S DEAN A MCGEE AVE, WYNNEWOOD, OK 73098-7822
(405) 665-4115
(405) 665-5666
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Enumeration date
05/02/2022
Last updated
07/05/2022
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