Lawton Ihs Pharmacy

LBN: Lawton Ihs Pharmacy
Lawton Ihs Pharmacy is an health care organization with primary practice located at 1515 Ne Lawrie Tatum Rd , Lawton OK 73507-3002. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, Suppliers / Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy is the primary health care specialty. Lawton Ihs Pharmacy can be contacted via phone (580) 354-5537, or through Patten, Tracie via phone (405) 951-6035.

Contact Information

Primary practice address
1515 Ne Lawrie Tatum Rd Lawton OK 73507-3002
Phone: (580) 354-5537
Fax: (580) 354-5544
Website:
Map and Directions
Authorized official contact:
Name: Patten, Tracie PHARMD
Phone: (405) 951-6035

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X 3-1440 Oklahoma
Suppliers / Pharmacy 333600000X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1316097298
LBN Legal business name Lawton Ihs Pharmacy
DBA Doing business as Lawton Ihs Pharmacy
Authorized official Patten, Tracie PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2007
Last updated Jan 18th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316097298 NPPES
Other 2074594 PK
MEDICAID 100231960K PK

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