# LAVERNE PHARMACY MANAGEMENT INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medic Drug & Gifts
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154244085
- **Authorized official:** BRYAN WESLEY BELL (PIC)
- **Authorized official phone:** (580) 921-3373

## Contact information

- **Practice address:** 102 W JANE JAYROE, LAVERNE, OK 73848-1250
- **Practice address phone:** (580) 921-3373
- **Mailing address:** 102 W JANE JAYROE, LAVERNE, OK 73848-1250
- **Mailing address phone:** (580) 921-3373

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 07/30/2026
- **Last updated:** 07/30/2026