Medical Park Pharmacy
LBN: Medical Park Pharmacy Inc
Medical Park Pharmacy is an health care organization with primary practice located at 1503 Slate Creek Rd , Grundy VA 24614-6974. 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 Inc can be contacted via phone (276) 935-6455, or through Vanmeter, Leanne via phone (276) 935-6455.
Contact Information
Primary practice address
1503 Slate Creek Rd
Grundy VA 24614-6974
Phone: (276) 935-6455
Fax: (276) 935-2981
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 0201002298 | Virginia |
Profile Details
| NPI number | 1366541229 |
|---|---|
| LBN Legal business name | Medical Park Pharmacy Inc |
| DBA Doing business as | Medical Park Pharmacy |
| Authorized official | Vanmeter, Leanne RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 21st, 2006 |
| Last updated | May 5th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366541229 | NPPES |
| Other | 2104298 | PK | |
| MEDICAID | 54019989 | PK | |
| MEDICAID | 0144027000 | PK | |
| MEDICAID | 8515476 | PK |
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