| NPI | 1588987051 |
|---|---|
| Doing Business As | MEDICAL PARK PHARMACY LTC INC |
| Entity Type | Organization |
| Authorized Contact | MICHELE DILLON Owner/President 304-654-2277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: KY WV1938) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: WV SP0552406) |
| 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: OH NRP022419250-03) | |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2016-07-29 |