National Provider Identifier Database

MEDICAL PARK PHARMACY INC
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.


Contact Information

MEDICAL PARK PHARMACY INC
1623 21ST CT
PHENIX CITY, AL36867
Phone: 334-298-4010
Fax: 334-298-0342
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for MEDICAL PARK PHARMACY INC

NPI Number 1629160841
Legal business name
LBN
MEDICAL PARK PHARMACY INC
Authorized official NORMAN DAVIS - (PRES)
Entity Organization
Organization subpart No
Enumeration date 09/28/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • AL License #: 106743
  • GA Medicaid: 00176063A
  • Other: 0114289 NABP

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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