Organization
1ST PHARMACY CORP
Active
Other names
DBA: Lawton Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANIS A NALL (OWNER)
(940) 648-2222
Entity
Organization
Contact information
Practice address
2702 W. GORE BLVD., LAWTON, OK 73505
(580) 353-0760
(580) 353-1411
Mailing address
2702 W. GORE BLVD., LAWTON, OK 73505
(580) 353-0760
(580) 353-1411
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
34605
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100241550A
—
OK
01
—
34605
OKLAHOMA PHARMACY LICENSE
OK
01
—
3705653
NABP
OK
Enumeration date
12/29/2006
Last updated
01/08/2010
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