Mp Southpark Pharmacy LLC
NPI #1427081447 in San Angelo, Texas
Provider Information
- NPI Number
- 1427081447
- Entity Type
- Organization
- Organization Name
- Mp Southpark Pharmacy LLC
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- Jul 10, 2006
- Last Updated
- Sep 12, 2025
Practice Location
- Address
- 29 S CHADB0URNE
- City
- San Angelo
- State
- Texas
- ZIP Code
- 76903-5891
- Phone
- (325) 655-3146
Authorized Official
- Name
- MICAH PRATT, PHARMD
- Title
- OWNER
- Phone
- (806) 548-0590
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
| Pharmacy - Compounding Pharmacy — Compounding Pharmacy |
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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