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Organization

NORTH PARK PHARMACY, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT E CULL RPH (CEO)
(502) 484-3113
Entity
Organization

Contact information

Practice address
327 N MAIN ST, OWENTON, KY 40359-1409
(502) 484-3174
(502) 484-0141
Mailing address
327 N MAIN ST, OWENTON, KY 40359-1409
(502) 484-3174
(502) 484-0141

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
90020942
KY
Enumeration date
03/15/2006
Last updated
06/15/2011
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