Organization
MEDIC PHARMACY MANAGEMENT INC
Active
Other names
MEDIC PHCY
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA COTHRAN PHARMACIST (MANAGER)
(405) 949-6410
Entity
Organization
Contact information
Practice address
5701 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-1678
(405) 949-6410
(405) 949-6412
Mailing address
5701 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-1678
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
13564
OK
3336C0002X
Clinic Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3717975
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
90003924453
—
OK
Enumeration date
10/26/2006
Last updated
09/11/2025
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