| NPI | 1538104054 |
|---|---|
| Doing Business As | MEDICAL PARK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MICHELLE DILLON-ROSS Owner/President 304-654-2277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: WV SP0552330) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2020-08-22 |