Organization
NORTH PARK PHARMACY, INC
Active
Organization
NORTH PARK PHARMACY, INC
Active
Other names
North Park Pharmacy and Home Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN MATTHEW CULL PHARM.D. (VICE PRESIDENT)
(502) 484-3113
Entity
Organization
Contact information
Practice address
327 N MAIN ST, OWENTON, KY 40359-1409
(502) 484-3113
(502) 484-0141
Mailing address
327 N MAIN ST, OWENTON, KY 40359-1409
(502) 484-3113
(502) 484-0141
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PO1363
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1812848
NCPDP NUMBER
KY
05
—
54016514
—
KY
05
—
90020942
—
KY
Enumeration date
09/21/2006
Last updated
08/22/2020
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