| NPI | 1174710370 |
|---|---|
| Doing Business As | MEDIC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | GREGORY S HUENERGARDT Co Owner 580-938-2854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 55616) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2013-08-19 |