Organization
LAWTON HERITAGE PHARMACY INC
Active
Other names
Lawton Heritage Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LEEANN CURET (MANAGER)
(580) 354-9860
Entity
Organization
Contact information
Practice address
12 NW SHERIDAN RD, LAWTON, OK 73505-6304
(580) 354-9860
(580) 354-9818
Mailing address
12 NW SHERIDAN RD, LAWTON, OK 73505-3644
(580) 354-9860
(580) 354-9818
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
3-7866
OK
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200411100A
—
OK
01
—
2132698
PK
—
Enumeration date
10/27/2011
Last updated
02/24/2020
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