Organization
CANADIAN PHARMACY MANAGEMENT LLC
Active
Other names
MEDIC PHARMACY AND GIFTS
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE RICHARDSON RPH (PIC)
(806) 323-6171
Entity
Organization
Contact information
Practice address
200 CHEYENNE AVE, CANADIAN, TX 79014-3018
(806) 323-6171
(806) 323-6133
Mailing address
200 CHEYENNE AVE, CANADIAN, TX 79014-3018
(806) 323-6171
(806) 323-6133
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
23282
TX
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145426
—
TX
01
—
2097350
PK
—
Enumeration date
09/30/2006
Last updated
09/19/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us