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Contact Information

MEDICAL PARK PHARMACY INC
1623 21ST CT
PHENIX CITY, AL36867
 Phone: 334-298-4010
 Fax: 334-298-0342
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for MEDICAL PARK PHARMACY INC

NPI # 1629160841
LBN Legal business name MEDICAL PARK PHARMACY INC
Authorized official NORMAN DAVIS - (PRES)
Entity Organization
Organization subpart 1 No
Enumeration date 09/28/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
AL License # 106743
GA Medicaid 00176063A
Other 0114289 NABP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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