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Organization
MEDICAL PARK PHARMACY GREENVILLE, INC
Active
Organization
MEDICAL PARK PHARMACY GREENVILLE, INC
Active
Other names
Medical Park Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN ANTHONY WICHER RPH (VP)
(252) 321-0222
Entity
Organization
Contact information
Practice address
1872 W ARLINGTON BLVD, SUITE M, GREENVILLE, NC 27834-5704
(252) 321-0222
(252) 321-0508
Mailing address
1872 W ARLINGTON BLVD, SUITE M, GREENVILLE, NC 27834-5704
(252) 321-0222
(252) 321-0508
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
11060
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0745961
—
NC
05
—
7704562
—
NC
Enumeration date
01/24/2013
Last updated
01/24/2013
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