NPI 1215958285

Eastside Clinic Pharmacy

Organisation Community/Retail Pharmacy Lawton, OK

Practice location

Address: 3612 SE Lee Blvd, Lawton, OK 73501-8451
Phone: (580) 355-6400
Fax: (580) 355-0451

Authorised official

Name: J Brennan
Title: Partner Pharmacist in Charge
Phone: (580) 355-6400

Registered specialties (2)

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence 36455 (OK)

Other Pharmacy providers in Oklahoma →

Long Term Care Pharmacy

Suppliers Taxonomy 3336L0003X

Registry record

NPI: 1215958285
Entity type: Organization
NPI issued: 22 Jul 2006
Record last updated: 7 Jun 2016

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.