<Unavail>

LBN: Medical Park Pharmacy Greenville
<Unavail> is an health care organization with primary practice located at 1872 W Arlington Blvd Ste M, Greenville NC 27834-5704. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Medical Park Pharmacy Greenville can be contacted via phone (252) 321-0222, or through Wicher, Stephen via phone (252) 726-0777.

Contact Information

Primary practice address
1872 W Arlington Blvd Ste M Greenville NC 27834-5704
Phone: (252) 321-0222
Fax: (252) 321-0508
Website:
Map and Directions
Authorized official contact:
Name: Wicher, Stephen
Phone: (252) 726-0777

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 09288 North Carolina

Profile Details

NPI number 1699720441
LBN Legal business name Medical Park Pharmacy Greenville
DBA Doing business as <Unavail>
Authorized official Wicher, Stephen
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2006
Last updated Jan 20th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699720441 NPPES
North Carolina MEDICAID 0745961
North Carolina Other 2065833

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