| NPI | 1215958285 |
|---|---|
| Doing Business As | EASTSIDE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | J BRENNAN Partner Pharmacist In Charge 580-355-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 36455) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2016-06-07 |