| NPI | 1619052909 |
|---|---|
| Doing Business As | MEDIC PHCY |
| Entity Type | Organization |
| Authorized Contact | RHONDA COTHRAN Manager 405-949-6410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: OK 13564) |
| Additional Taxonomies | 3336C0002X Pharmacy Clinic Pharmacy |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-08-22 |