Organization
MEDICAL PARK PHARMACY EAST, INC.
Active
Other names
Medical Park Pharmacy East
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY ALAN WILLIAMS R.PH. (PRESIDENT)
(252) 504-2800
Entity
Organization
Contact information
Practice address
1513 LIVE OAK ST, BEAUFORT, NC 28516-1518
(252) 504-2800
(252) 504-2805
Mailing address
1513 LIVE OAK ST, BEAUFORT, NC 28516-1518
(252) 504-2800
(252) 504-2805
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
09182
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0165449
—
NC
05
—
7704457
—
NC
Enumeration date
02/09/2007
Last updated
09/06/2011
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