Organization
PARK PHARMACY INC
Active
Parent organization
PARK PHARMACY INC
Other names
North Central IV
Organization subpart
Yes
Provider details
NPI number
Legal business name
PARK PHARMACY INC
Authorized official
MR. MARK PECHACEK (OWNER)
(715) 762-3248
Entity
Organization
Contact information
Practice address
138 1/2 2ND AVE N, PARK FALLS, WI 54552-1214
(715) 762-3248
(715) 762-2980
Mailing address
138 1/2 2ND AVE N, PARK FALLS, WI 54552-1214
(715) 762-3248
(715) 762-2980
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
7643-042
WI
3336L0003X
Long Term Care Pharmacy
Primary
7643-42
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33220500
—
WI
Enumeration date
05/31/2005
Last updated
05/03/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us