Organization
MEDIC PHARMACY INC OF EL DORADO
Active
Parent organization
MEDIC PHARMACY INC OF EL DORADO ARKANSAS
Other names
Medic Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDIC PHARMACY INC OF EL DORADO ARKANSAS
Authorized official
TONYA RENEE TAYLOR TECH (TECH)
(870) 862-4931
Entity
Organization
Contact information
Practice address
347 W OAK ST, EL DORADO, AR 71730-4564
(870) 862-4931
(870) 862-6659
Mailing address
347 W OAK ST, EL DORADO, AR 71730-4564
(870) 862-4931
(870) 862-6659
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100136407
—
AR
Enumeration date
01/21/2020
Last updated
01/21/2020
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