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Organization

HUNTINGTON REGIONAL MED PK PHARM CO

Active
Other names
MEDICAL PARK PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE DILLON-ROSS RPH (OWNER/PRESIDENT)
(304) 654-2277
Entity
Organization

Contact information

Practice address
5170 RTE 60 E STE 2800, HUNGTINGTON, WV 25705
(304) 399-3784
(304) 399-3785
Mailing address
315 ROYAL BIRKDALE DR, LAVALETTE, WV 25535-9617

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
SP0552330
WV
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5054200
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
06/18/2006
Last updated
09/11/2025
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  • EDI platform