Organization
1ST PHARMACY CORPORATION
Active
Other names
LAWTON FAMILY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANIS CAROL NALL (PRESIDENT OWNER)
(940) 648-5090
Entity
Organization
Contact information
Practice address
2702 W GORE BLVD, LAWTON, OK 73505-6319
(580) 353-0760
(580) 353-1411
Mailing address
2702 W. GORE BOULEVARD, LAWTON, OK 75303
(580) 353-0760
(580) 353-1411
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
3-5485
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100241550A
—
OK
Enumeration date
11/25/2009
Last updated
11/25/2009
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