Organization
MEDIC PHARMACY INC OF EL DORADO
Active
Other names
Medic Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM RICHARD HANRY RPH (PHARMACIST/OWNER)
(870) 862-4931
Entity
Organization
Contact information
Practice address
347 W OAK STREET, EL DORADO, AR 71730-4521
(870) 862-4931
(870) 862-6659
Mailing address
347 W OAK ST SUITE A, EL DORADO, AR 71730-4564
(870) 862-4931
(870) 862-6659
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
14540
AR
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
AR14540
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100136407
—
AR
Enumeration date
09/01/2005
Last updated
06/22/2020
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