Organization
MEDIPACK PHARMACY LLC
Active
Organization
MEDIPACK PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD JONES WHITSELL RPH, MBA (SENIOR VICE PRESIDENT)
(336) 773-1013
Entity
Organization
Contact information
Practice address
3917 WESTPOINT BLVD, SUITE A, WINSTON SALEM, NC 27103-6723
(336) 773-1013
Mailing address
3917 WESTPOINT BLVD, SUITE A, WINSTON SALEM, NC 27103-6723
(336) 773-1013
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
08432
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0347172
—
NC
01
—
3435319
NABP IDENTIFICATION
NC
Enumeration date
07/15/2006
Last updated
01/21/2016
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