MEDIPACK PHARMACY LLC NPI 1265459614

NPI Information

MEDIPACK PHARMACY LLC is a long term care pharmacy pharmacy in Winston Salem, NC. 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. MEDIPACK PHARMACY LLC NPI is 1265459614. The provider is registered as an organization entity type.

The provider's business location address is:

3917 WESTPOINT BLVD
SUITE A
WINSTON SALEM, NC
ZIP 27103-723
Phone: (336) 773-1013

The provider's authorized official is Richard Jones Whitsell .
The authorized official title is Senior Vice President and has the following contact phone number (336) 773-1013.

The CLIA number assigned to this NPI record is 34D2190397 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/15/2006 and was last updated on 1/21/2016.

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:

Other Identifiers

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

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