Organization
CANADIAN PHARMACY MANAGEMENT LLC
Active
Organization
CANADIAN PHARMACY MANAGEMENT LLC
Active
Other names
MEDIC PHARMACY AND GIFTS
Organization subpart
No
Provider details
NPI number
Authorized official
DEE HARE (PIC)
(806) 663-0356
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
07/06/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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