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MEDIC PHARMACY INC OF EL DORADO NPI 1235110644


NPI Information

NPI: 1235110644
Provider Name: MEDIC PHARMACY INC OF EL DORADO
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
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 durable medical equipment medical supplies in El Dorado, AR. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. MEDIC PHARMACY INC OF EL DORADO NPI is 1235110644. The provider is registered as an organization entity type.

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 11/11/2005 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
1332B00000XDurable Medical Equipment & Medical Supplies4623060001ARKANSASYes

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
1149261716MEDICAIDARKANSAS
2100136407MEDICAIDARKANSAS

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: 4/28/2024

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