| NPI | 1508847815 |
|---|---|
| Doing Business As | MEDICAL PARK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JACK R MUNN Owner 214-221-8181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: TX 12801) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: TX 12801) |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TX 12801) | |
| 333600000X Pharmacy (Licence: TX 12801) | |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2009-02-09 |