Medkan Pharmacy INC

NPI #1255197034 in Medford, Oklahoma

Provider Information

NPI Number: 1255197034
Entity Type: Organization
Organization Name: Medkan Pharmacy INC
Primary Specialty: Pharmacy - Long Term Care Pharmacy
Enumeration Date: Feb 28, 2024
Last Updated: Feb 28, 2024

Practice Location

Address: 107 E CHEROKEE ST
City: Medford
State: Oklahoma
ZIP Code: 73759-1209
Phone: (580) 395-3116

Authorized Official

Name: JACOB EDWARDS
Title: OWNER
Phone: (580) 395-3116

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X
Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy	3336C0003X
Pharmacy - Compounding Pharmacy — Compounding Pharmacy	3336C0004X
Pharmacy - Specialty Pharmacy — Specialty Pharmacy	3336S0011X
Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy	3336L0003X	Primary

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