Provider Demographics
NPI:1467098806
Name:CUDD COMPANY LLC
Entity type:Organization
Organization Name:CUDD COMPANY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:ANNETTE
Authorized Official - Last Name:CUDD
Authorized Official - Suffix:
Authorized Official - Credentials:DPH, PHD
Authorized Official - Phone:405-570-9496
Mailing Address - Street 1:3401 N MAY AVE STE B
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-6953
Mailing Address - Country:US
Mailing Address - Phone:405-843-6691
Mailing Address - Fax:405-848-3591
Practice Address - Street 1:3401 N MAY AVE STE B
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-6953
Practice Address - Country:US
Practice Address - Phone:405-843-6691
Practice Address - Fax:405-848-3591
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-20
Last Update Date:2019-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy