Organization
HUNTINGTON REGIONAL MEDICAL PARK PHARMACY INC
Active
Other names
MEDICAL PARK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE DILLON (OWNER/PRESIDENT)
(304) 399-3784
Entity
Organization
Contact information
Practice address
5170 ROUTE 60 E, SUITE 2800, HUNTINGTON, WV 25705
(304) 399-3784
(304) 399-3785
Mailing address
PO BOX 999, LAVALETTE, WV 25535-0999
(304) 529-3784
(304) 529-3785
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
SP0552330
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2111573
PK
—
05
—
2633672
—
OH
05
—
3810004376
—
WV
Enumeration date
11/27/2006
Last updated
07/08/2014
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