Eastside Clinic Pharmacy in Lawton - Long Term Care Pharmacy

Eastside Clinic Pharmacy - NPI 1215958285

Eastside Clinic Pharmacy is a Long Term Care Pharmacy in Lawton, Oklahoma. Eastside Clinic Pharmacy practices all healthcare services and medical treatments related to Long Term Care Pharmacy. The NPI Number for Eastside Clinic Pharmacy is 1215958285. The last update date is 2016-06-07.

Eastside Clinic Pharmacy's current location address is 3612 Se Lee Blvd, Lawton, Oklahoma. You can contact this provider via phone number 5803556400 and fax number 5803550451. The mailing address for Eastside Clinic Pharmacy is 3612 Se Lee Blvd, Lawton, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Organization Eastside Clinic Pharmacy
Address 3612 Se Lee Blvd, Lawton, Oklahoma
Phone Number 5803556400
Fax Number 5803550451
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PARTNER PH
Authorized Official Name Brennan J
Telephone Number 5803556400

NPI Number Detail

NPI Number 1215958285
Provider Enumeration Date 2006-07-22
Last Updated Date 2016-06-07

Provider Mailing Address Detail

Address 3612 Se Lee Blvd
City Lawton
State Oklahoma (OK)
Post Code 735018451
Phone Number 5803556400
Fax Number 5803550451

Provider's Primary Taxonomy Detail

Speciality Long Term Care Pharmacy
Taxonomy 3336L0003X
Definition:
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregat

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100247000A OK --
2076429 PK

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FAQs about Eastside Clinic Pharmacy

What is the unique provider identifier assigned to Eastside Clinic Pharmacy?

The Eastside Clinic Pharmacy has been issued the NPI (National Provider Identifier) 1215958285 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Eastside Clinic Pharmacy is physically located?

The Eastside Clinic Pharmacy is physically situated at the following address: 3612 Se Lee Blvd, Lawton, OK, 735018451.

What is the area of specialization for Eastside Clinic Pharmacy, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Eastside Clinic Pharmacy is Long Term Care Pharmacy, and the corresponding taxonomy code that categorizes this area of expertise is 3336L0003X.

On what date did the Eastside Clinic Pharmacy receive its 1215958285 assignment from the Centers for Medicare & Medicaid Services?

The Eastside Clinic Pharmacy was assigned its 1215958285 by the Centers for Medicare & Medicaid Services on 2006-07-22.

When was the information regarding Eastside Clinic Pharmacy most recently updated?

The details pertaining to the Eastside Clinic Pharmacy, including its address, specialty, and other relevant information, were last refreshed on 2016-06-07.

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