NPI
Shattuck Pharmacy Management Inc
Doing business as Medic Pharmacy & Gifts. Phone (580) 938-2854 · Fax (580) 938-2888 · NPI 1720163959
Read from the NPPES registry on October 23, 2026.
Medic Pharmacy & Gifts pharmacy profile: phone, fax, pharmacy type, and nearby pharmacies.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2006-10-26
- Last updated
- 2026-07-06
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Specialties
Licenses
- License OK
- 75-5618
Location
- Practice location
- 1604 S Main St
- City
- Shattuck OK
- Postal code
- 73858-9226
- Phone
- (580) 938-2854
- Fax
- (580) 938-2888
Organization contact
- Name
- Kyle Johnson
- Title
- Pic
- Phone
- (580) 938-2854
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Shattuck, OK. 38 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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