| NPI | 1033152392 |
|---|---|
| Doing Business As | MEDICAL PARK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | WILLIE D SMITH Owner 770-535-8860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA 006215) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2023-02-02 |