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Contact Information

1ST PHARMACY CORPORATION
2702 W GORE BLVD
LAWTON, OK73505-6319
 Phone: 580-353-0760
 Fax: 580-353-1411
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for 1ST PHARMACY CORPORATION

NPI Number 1053649327
LBN Legal business name 1ST PHARMACY CORPORATION
Authorized official JANIS NALL - (PRESIDENT OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/25/2009
Last updated 11/25/2009 - About 17 years ago
Identifiers
OK License # 3-5485
OK Medicaid 100241550A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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