# MEDIC PHARMACY INC OF EL DORADO

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MEDIC PHARMACY INC OF EL DORADO ARKANSAS
- **Other names:** Medic Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1912537713
- **Legal business name:** MEDIC PHARMACY INC OF EL DORADO ARKANSAS
- **Authorized official:** TONYA RENEE TAYLOR TECH (TECH)
- **Authorized official phone:** (870) 862-4931

## Contact information

- **Practice address:** 347 W OAK ST, EL DORADO, AR 71730-4564
- **Practice address phone:** (870) 862-4931
- **Practice address fax:** (870) 862-6659
- **Mailing address:** 347 W OAK ST, EL DORADO, AR 71730-4564
- **Mailing address phone:** (870) 862-4931
- **Mailing address fax:** (870) 862-6659

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 01/21/2020
- **Last updated:** 01/21/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100136407 | — | AR |