Organization
LASSITER ENTERPRISES INC
Active
Other names
COMFORT CARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN LASSITER RPH (MANAGER AND OWNER)
(405) 619-3736
Entity
Organization
Contact information
Practice address
3001 S MANSFIELD AVE, DEL CITY, OK 73115-1425
(405) 619-3736
(405) 619-3739
Mailing address
PO BOX 15330, OKLAHOMA CITY, OK 73155-5330
(405) 619-3736
(405) 619-3739
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
14953
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100243280A
—
OK
01
—
3724449
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/29/2006
Last updated
11/29/2021
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