MEDICARE: MEDIC PHARMACY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy
2	3336L0003X	Long Term Care Pharmacy	PH21155	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	2004949	OTHER	PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558461913
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDIC PHARMACY INC

Provider Business Mailing Address
First Line	:	5150 N FEDERAL HWY STE REAR
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33308-3814
Country	:	US
Telephone Number	:	954-484-4200
Fax Number	:	954-484-8678

Provider Business Practice Location Address
First Line	:	5150 N FEDERAL HWY STE REAR
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33308-3814
Country	:	US
Telephone Number	:	954-484-4200
Fax Number	:	954-484-8678

Authorized Official
Title or Position	:	PRESIDENT
Name	:	HAMMAD HAMEEDI
Credential	:
Telephone Number	:	954-484-4200

Provider Enumeration Date	:	09/25/2006
Last Update Date	:	06/20/2024

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Directions to “MEDIC PHARMACY INC ” Practice Location

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