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MEDIC PHARMACY INC OF EL DORADO NPI 1083608319


NPI Information

NPI: 1083608319
Provider Name: MEDIC PHARMACY INC OF EL DORADO

Doing Business As: MEDIC PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
347 W OAK STREET
EL DORADO, AR
ZIP 71730
Phone: (870) 862-4931
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MEDIC PHARMACY INC OF EL DORADO is a community/retail pharmacy pharmacy in El Dorado, AR. The provider 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. MEDIC PHARMACY INC OF EL DORADO NPI is 1083608319. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Medic Pharmacy.

The provider's business location address is:

347 W OAK STREET
EL DORADO, AR
ZIP 71730-521
Phone: (870) 862-4931
Fax: (870) 862-6659

The provider's authorized official is William Richard Hanry .
The authorized official title is Pharmacist/owner and has the following contact phone number (870) 862-4931.

The enumeration date for this NPI number is 9/1/2005 and was last updated on 6/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1183500000XPharmacist14540ARKANSASNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
33336C0004XPharmacyCompounding PharmacyNo
43336L0003XPharmacyLong Term Care PharmacyAR14540ARKANSASNo
53336C0003XPharmacyCommunity/Retail PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100136407MEDICAIDARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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