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Organization
MEDICAL PARK PHARMACY, INC
Active
Organization
MEDICAL PARK PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT M WILLIAMS JR. RPH (VICE PRESIDENT)
(252) 726-0777
Entity
Organization
Contact information
Practice address
301 PENNY LN, MOREHEAD CITY, NC 28557-4307
(252) 726-0777
(252) 726-6497
Mailing address
301 PENNY LN, MOREHEAD CITY, NC 28557-4307
(252) 726-0777
(252) 726-6497
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
4342
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0165209
—
NC
Enumeration date
10/06/2010
Last updated
10/06/2010
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