Healthcare Provider Details

I. General information

NPI: 1235079302
Provider Name (Legal Business Name): C & D MEDICATION ENTERPRISES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3217 24TH AVE. NW SUITE 101
NORMAN OK
73069
US

IV. Provider business mailing address

3217 24TH AVE. NW SUITE 101
NORMAN OK
73069
US

V. Phone/Fax

Practice location:
  • Phone: 405-516-1617
  • Fax: 405-516-1618
Mailing address:
  • Phone: 405-516-1617
  • Fax: 405-516-1618

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MRS. KRUTIKABEN PATEL
Title or Position: CFO
Credential: RN
Phone: 405-514-7419