Organization
COMANCHE COUNTY HOSPITAL AUTHORITY
Active
Other names
GREAT PLAINS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SETH JULIAN (PHRM MNG)
(580) 585-5401
Entity
Organization
Contact information
Practice address
3201 W GORE BLVD STE A, LAWTON, OK 73505-6350
(580) 585-5401
(580) 510-7033
Mailing address
3201 W GORE BLVD, LAWTON, OK 73505-6378
(580) 585-5401
(580) 510-7033
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
3-4456
OK
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100749570R
—
OK
01
—
2074707
PK
—
Enumeration date
10/20/2006
Last updated
08/23/2023
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