Doctors Park Pharmacy
LBN: Doctors Park Pharmacy Inc
Doctors Park Pharmacy is an health care organization with primary practice located at 403 Western Blvd , Jacksonville NC 28546-6870. 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.
Doctors Park Pharmacy Inc can be contacted via phone (910) 353-5733, or through Sullivan, Kimberly via phone (910) 353-5733.
Contact Information
Primary practice address
403 Western Blvd
Jacksonville NC 28546-6870
Phone: (910) 353-5733
Fax: (910) 577-1705
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 03726 | North Carolina |
Profile Details
| NPI number | 1205901881 |
|---|---|
| LBN Legal business name | Doctors Park Pharmacy Inc |
| DBA Doing business as | Doctors Park Pharmacy |
| Authorized official | Sullivan, Kimberly RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 21st, 2006 |
| Last updated | Nov 16th, 2012 - about 13 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 | 1205901881 | NPPES |
| North Carolina | MEDICAID | 7700938 | |
| North Carolina | MEDICAID | 0675447 | |
| North Carolina | Other | 3416472 |
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