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Contact Information

CDL CENTRAL DRUG, INC.
1220 W 12TH AVE
STILLWATER, OK74074-4668
 Phone: 405-372-6120
 Fax: 405-372-2833
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for CDL CENTRAL DRUG, INC.

NPI Number 1174921316
LBN Legal business name CDL CENTRAL DRUG, INC.
Authorized official STEPHEN BAYER - (PRESIDENT/PIC)
Entity Organization
Organization subpart 1 No
Enumeration date 12/19/2014
Last updated 03/05/2026 - About 3 months ago
Identifiers
OK License # 8-6924
OK Medicaid 200568490A
Other 2149381 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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