Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eastside Clinic Pharmacy

Organization Community/Retail Pharmacy · NPI 1215958285

Eastside Clinic Pharmacy is a Community/Retail Pharmacy in Lawton, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2006.

Licensed in
OK
In the registry since
2006
Specialties on file
2

Practice location Address checks out

3612 SE Lee Blvd
Lawton, OK 73501-8451
Phone: (580) 355-6400
Fax: (580) 355-0451
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 36455 (OK)
Long Term Care Pharmacy Taxonomy 3336L0003X

Record details

NPI number1215958285
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official J Brennan — Partner Pharmacist In Charge · (580) 355-6400
Other names Eastside Pharmacy
NPI enumeratedJuly 22, 2006
Last updated in NPPESJune 7, 2016
Mailing address3612 Se Lee Blvd, Lawton, OK 73501-8451

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