Provider Demographics
NPI:1932846995
Name:CPII, LLC
Entity Type:Organization
Organization Name:CPII, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DERIL
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:LEES
Authorized Official - Suffix:JR
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:918-578-0031
Mailing Address - Street 1:4132 E 51ST ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-3609
Mailing Address - Country:US
Mailing Address - Phone:918-578-0031
Mailing Address - Fax:918-524-9365
Practice Address - Street 1:4132 E 51ST ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-3609
Practice Address - Country:US
Practice Address - Phone:918-578-0031
Practice Address - Fax:918-524-9365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-19
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy