Organization
MEDIC PHARMACY INC
Active
Other names
Medic Pharmacy Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL B ROGERS PHARMD (PHARMACIST)
(501) 664-3907
Entity
Organization
Contact information
Practice address
5901 W 12TH ST, LITTLE ROCK, AR 72204-1608
(501) 664-3907
(501) 664-4491
Mailing address
5901 W 12TH ST, LITTLE ROCK, AR 72204-1608
(501) 664-3907
(501) 664-4491
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
AR20027
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0400919
NABP
—
01
—
0542540001
MEDICARE PTAN
AR
05
—
100020407
—
AR
Enumeration date
08/23/2006
Last updated
05/28/2025
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