Organization · NPI-2
Medical Park Pharmacy West
Pharmacy, Community/Retail Pharmacy · Morehead City, NC
NPI number1801347646
StatusActive
Last updated in NPPESOct 17, 2016
Details
- NPI
- 1801347646
- Entity type
- Organization (NPI-2)
- Legal business name
- Medical Park Pharmacy West
- Organization subpart
- No
- Enumeration date
- Oct 17, 2016
- Last updated
- Oct 17, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
Practice location
278 Hwy 24Suite M
Morehead City, NC 28557
Phone 252-726-0279
Mailing address
278 Highway 24M
Morehead City, NC 28557
Phone 252-726-0279
Authorized official
Fletcher Johnston
Pharmacist/Owner
2527260279
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