Provider Demographics
NPI:1528566502
Name:C D PHARMACIES INC
Entity Type:Organization
Organization Name:C D PHARMACIES INC
Other - Org Name:CIRCLE DRUG
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:EVERETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-662-0774
Mailing Address - Street 1:3211 ROBINSON DR
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76706-4409
Mailing Address - Country:US
Mailing Address - Phone:254-662-0774
Mailing Address - Fax:254-662-2690
Practice Address - Street 1:3211 ROBINSON DR
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76706-4409
Practice Address - Country:US
Practice Address - Phone:254-662-0774
Practice Address - Fax:254-662-2690
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-25
Last Update Date:2018-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy