Eastside Clinic Pharmacy
Community/Retail Pharmacy
3612 Se Lee Blvd, Lawton
Oklahoma, 73501-8451
580-355-6400 580-355-0451
Eastside Clinic Pharmacy is a Community/Retail Pharmacy in Lawton, Oklahoma. It is located at 3612 Se Lee Blvd, Lawton and it's customer support contact number is 580-355-6400. The authorized person of Eastside Clinic Pharmacy is J Brennan who is Partner Pharmacist In Charge of the pharmacy and his contact number is 580-355-6400. Active license number of Eastside Clinic Pharmacy is 36455 for Community/Retail Pharmacy in Oklahoma. Eastside Clinic Pharmacy accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Eastside Clinic Pharmacy is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Eastside Clinic Pharmacy type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Eastside Clinic Pharmacy |
| Type: | Community/Retail Pharmacy |
| Location: | 3612 Se Lee Blvd, Lawton,
Oklahoma, 73501-8451 |
| Phone: | 580-355-6400 |
| Fax: | 580-355-0451 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | J Brennan |
| Position: | Partner Pharmacist In Charge |
| Contact Number: | 580-355-6400 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1215958285 |
| NPI Enumeration Date: | 22 Jul, 2006 |
| NPI Last Update On: | 07 Jun, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Eastside Clinic Pharmacy are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 36455 | Oklahoma | Primary | |
| Long Term Care Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 100247000A | Medicaid | Oklahoma | |
| 2076429 | Other | | Pk |
Medicare Enrollment:
Eastside Clinic Pharmacy is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 0840407540 | O20100930031099 | Eastside Clinic Pharmacy | DME SUPPLIER - PHARMACY |
| 0840407540 | O20150217000288 | Eastside Clinic Pharmacy | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Products Available:
Eastside Clinic Pharmacy has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Nebulizer Equipment & Supplies |
| • Neuromuscular Electrical Stimulators (nmes) | • Ostomy Supplies |
| • Urological Supplies | • Walkers |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3612 Se Lee Blvd,
Lawton, Oklahoma |
| Zip: | 73501-8451 |
| Phone Number: | 580-355-6400 |
| Fax Number: | 580-355-0451 |
Patients can reach Eastside Clinic Pharmacy at
3612 Se Lee Blvd, Lawton, Oklahoma or can
call on customer care at 580-355-6400.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.