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MEDICAL PARK PHARMACY LTC INC NPI 1588987051


NPI Information

NPI: 1588987051
Provider Name: MEDICAL PARK PHARMACY LTC INC

Doing Business As: MEDICAL PARK PHARMACY LTC INC

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
4118 5TH STREET RD
HUNTINGTON, WV
ZIP 25701
Phone: (304) 529-3784
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MEDICAL PARK PHARMACY LTC INC is a long term care pharmacy pharmacy in Huntington, WV. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. MEDICAL PARK PHARMACY LTC INC NPI is 1588987051. The provider is registered as an organization entity type.
The provider Is Doing Business As Medical Park Pharmacy Ltc Inc.

The provider's business location address is:

4118 5TH STREET RD
HUNTINGTON, WV
ZIP 25701-547
Phone: (304) 529-3784
Fax: (304) 529-3785

The provider's authorized official is Michele Dillon .
The authorized official title is Owner/president and has the following contact phone number (304) 654-2277.

The enumeration date for this NPI number is 3/11/2010 and was last updated on 7/29/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336L0003XPharmacyLong Term Care PharmacySP0552406WEST VIRGINIANo
23336L0003XPharmacyLong Term Care PharmacyNRP022419250-03OHIONo
33336L0003XPharmacyLong Term Care PharmacyWV1938KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12124436OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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