<Unavail>
LBN: Medic Pharmacy Management Inc
<Unavail> is an health care organization with primary practice located at 5701 N Portland Ave , Oklahoma City OK 73112-1678. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty.
Medic Pharmacy Management Inc can be contacted via phone (405) 949-6410, or through Cothran, Rhonda via phone (405) 949-6410.
Contact Information
Primary practice address
5701 N Portland Ave
Oklahoma City OK 73112-1678
Phone: (405) 949-6410
Fax: (405) 949-6412
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | 13564 | Oklahoma |
| Suppliers / Clinic Pharmacy | 3336C0002X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1619052909 |
|---|---|
| LBN Legal business name | Medic Pharmacy Management Inc |
| DBA Doing business as | <Unavail> |
| Authorized official | Cothran, Rhonda PHARMACIST |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 26th, 2006 |
| Last updated | Sep 11th, 2025 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619052909 | NPPES |
| Oklahoma | MEDICAID | 90003924453 | |
| Oklahoma | Other | 3717975 |
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