Organization
MEDICAL PARK PHARMACY WASHINGTON INC
Active
Other names
Medical Park Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT WILLIAMS (PRESIDENT)
(252) 726-0777
Entity
Organization
Contact information
Practice address
1316 JOHN SMALL AVE, WASHINGTON, NC 27889-3843
(252) 726-0777
(252) 726-6497
Mailing address
PO BOX 2308, MOREHEAD CITY, NC 28557-2308
(252) 726-0777
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
12066
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2147658
PK
—
Enumeration date
08/25/2014
Last updated
12/18/2016
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