Medical Park Pharmacy East

LBN: Medical Park Pharmacy East, Inc.
Medical Park Pharmacy East is an health care organization with primary practice located at 1513 Live Oak St , Beaufort NC 28516-1518. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Medical Park Pharmacy East, Inc. can be contacted via phone (252) 504-2800, or through Williams, Jeffrey Alan via phone (252) 504-2800.

Contact Information

Primary practice address
1513 Live Oak St Beaufort NC 28516-1518
Fax: (252) 504-2805
Website:
Authorized official contact:
Name: Williams, Jeffrey Alan R.PH.

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 09182 North Carolina

Profile Details

NPI number 1396886701
LBN Legal business name Medical Park Pharmacy East, Inc.
DBA Doing business as Medical Park Pharmacy East
Authorized official Williams, Jeffrey Alan R.PH.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2007
Last updated Sep 6th, 2011 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396886701 NPPES
North Carolina MEDICAID 7704457
North Carolina MEDICAID 0165449

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