Organization
MCPARK LTD
Active
Other names
PRESCRIPTION CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
TODD PARKER (OWNER/PHARMACIST)
(320) 235-2440
Entity
Organization
Contact information
Practice address
1110 1ST ST S, WILLMAR, MN 56201-3512
(320) 235-2440
(320) 235-7601
Mailing address
1110 1ST ST S, WILLMAR, MN 56201-3512
(320) 235-2440
(320) 235-7601
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
2616337
MN
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
536324100
—
MN
Enumeration date
07/12/2005
Last updated
08/09/2016
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