Organization
MEDI-PARK PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD RAYMOND PANDOLFI RPH. (OWNER-PHARMACIST)
(806) 359-5496
Entity
Organization
Contact information
Practice address
1920 MEDI PARK DR, AMARILLO, TX 79106-2104
(806) 359-5496
(806) 355-9533
Mailing address
1920 MEDI PARK DR, AMARILLO, TX 79106-2104
(806) 359-5496
(806) 355-9533
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
14575
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143815
—
TX
01
—
4551669
NABP
—
Enumeration date
09/13/2006
Last updated
08/06/2008
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