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:
Map and Directions
Authorized official contact:
Name: Davis, Norman Willard RPH
Phone: (334) 298-4010

Health care specialties

SpecialtyCodeLicense #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 4 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 1629160841 NPPES
Georgia MEDICAID 00176063A
Georgia Other 0114289

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