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Organization
HEALTH PARK PHARMACY LLC
Active
Organization
HEALTH PARK PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY STEVEN ADKINS II (OWNER/MANAGER)
(919) 847-7645
Entity
Organization
Contact information
Practice address
8300 HEALTH PARK, SUITE 227, RALEIGH, NC 27615-4731
(919) 847-7645
(919) 847-7641
Mailing address
8300 HEALTH PARK, SUITE 227, RALEIGH, NC 27615-4731
(919) 847-7645
(919) 857-7641
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
11200
NC
3336C0003X
Community/Retail Pharmacy
9307
NC
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0920708
—
NC
01
—
11200
PHARMACY PERMIT
NC
01
—
3407459
NCPDP
—
05
—
7704623
—
NC
Enumeration date
12/26/2006
Last updated
03/07/2023
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