Medical Park Pharmacy
LBN: Medical Park Pharmacy Inc
Medical Park Pharmacy is an health care organization with primary practice located at 1623 21St Ct , Phenix City AL 36867. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty.
Medical Park Pharmacy Inc can be contacted via phone (334) 298-4010, or through Davis, Norman Willard via phone (334) 298-4010.
Contact Information
Primary practice address
1623 21St Ct
Phenix City AL 36867
Phone: (334) 298-4010
Fax: (334) 298-0342
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | 106743 | Alabama |
Profile Details
| NPI number | 1629160841 |
|---|---|
| LBN Legal business name | Medical Park Pharmacy Inc |
| DBA Doing business as | Medical Park Pharmacy |
| Authorized official | Davis, Norman Willard RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Aug 22nd, 2020 - about 6 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 | 1629160841 | NPPES |
| Georgia | MEDICAID | 00176063A | |
| Georgia | Other | 0114289 |
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