Organization
MALCOLM R. PARKS
Active
Other names
THE MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
MALCOLM PARKS RPH (OWNER PHARMACIST)
(315) 376-4212
Entity
Organization
Contact information
Practice address
7400 TURIN RD, LOWVILLE, NY 13367-1721
(315) 376-4212
(315) 376-4366
Mailing address
7400 TURIN RD, LOWVILLE, NY 13367-1721
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
020243
NY
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01138650
—
NY
01
—
3394474
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/20/2006
Last updated
03/07/2023
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