National Provider Identifier Database

MEDIC PHARMACY MANAGEMENT INC
Clinic Pharmacy

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.


Contact Information

MEDIC PHARMACY MANAGEMENT INC
5701 N PORTLAND AVE
OKLAHOMA CITY, OK73112-1678
Phone: 405-949-6410
Fax: 405-949-6412
Website:
Specialty Taxonomy Code
* Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X
Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for MEDIC PHARMACY MANAGEMENT INC

NPI Number 1619052909
Legal business name
LBN
MEDIC PHARMACY MANAGEMENT INC
Authorized official RHONDA COTHRAN - (MANAGER)
Entity Organization
Organization subpart No
Enumeration date 10/26/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers
  • OK License #: 13564
  • OK Medicaid: 90003924453
  • Other: 3717975 OTHER ID NUMBER-COMMERCIAL NUMBER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for MEDIC PHARMACY MANAGEMENT INC

There are currently no reviews for MEDIC PHARMACY MANAGEMENT INC


NPIdb - Home
v2.201