MEDICAL PARK PHARMACY LTC INC
Medical Equipment Supplier Yellow Pages
Huntington, West Virginia
Provider NPI: 1588987051
Organization Information:Organization Name: MEDICAL PARK PHARMACY LTC INC
Practice Location:
4118 5TH STREET RD HUNTINGTON, WV 25701 US
Tel: 304-529-3784 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
4118 5TH STREET RD HUNTINGTON, WV 25701 US
Tel: 304-529-3784 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336L0003X | Suppliers Pharmacy Long Term Care Pharmacy | WV | SP0552406 |
N | 3336L0003X | Suppliers Pharmacy | OH | NRP022419250-03 |
Y | 3336L0003X | Suppliers Pharmacy | KY | WV1938 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PK | 2124436 | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin