Rock Mount Medical Park Pharm
LBN: Rocky Mount Medical Park Pharmacy Inc
Rock Mount Medical Park Pharm is an health care organization with primary practice located at 901 N Winstead Ave Ste 100, Rocky Mount NC 27804-8467. 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.
Rocky Mount Medical Park Pharmacy Inc can be contacted via phone (252) 443-7979, or through Crawford, Randy via phone (252) 443-7979.
Contact Information
Primary practice address
901 N Winstead Ave Ste 100
Rocky Mount NC 27804-8467
Phone: (252) 443-7979
Fax: (252) 937-7143
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 5339 | North Carolina |
Profile Details
| NPI number | 1659423903 |
|---|---|
| LBN Legal business name | Rocky Mount Medical Park Pharmacy Inc |
| DBA Doing business as | Rock Mount Medical Park Pharm |
| Authorized official | Crawford, Randy RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 17th, 2007 |
| Last updated | May 10th, 2021 - about 3 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 | 1659423903 | NPPES |
| North Carolina | MEDICAID | 00335398 | |
| North Carolina | Other | 2070293 |
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