Whalio Doctors

NPI 1053833608

Cpii, LLC

Organisation Compounding Pharmacy Broken Arrow, OK

Practice location

Address
811 W. New Orleans Suite 101, Broken Arrow, OK 74011
Phone
(918) 578-0031
Fax
(918) 524-9365

Authorised official

Name
Deril J Lees
Title
Owner/Pharmacist
Phone
(918) 578-0031

Registered specialties (2)

Compounding Pharmacy Primary
Suppliers Taxonomy 3336C0004X Licence 2-7948 (OK)
Community/Retail Pharmacy
Suppliers Taxonomy 3336C0003X Licence 2-7948 (OK)

Registry record

NPI
1053833608
Entity type
Organization
NPI issued
14 Jul 2017
Record last updated
21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.