| NPI | 1972894145 |
|---|---|
| Doing Business As | MEDICAL PARK PHARMACY WEST |
| Entity Type | Organization |
| Authorized Contact | FLETCHER JOHNSTON President 252-726-0279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy Specialty Pharmacy (Licence: NC 8384) |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2011-04-22 |