Organization
MACK'S GROCERY, LLC
Active
Other names
Parkers Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUKE A HAGLE RPH (PHARMACIST IN CHARGE)
(660) 747-7449
Entity
Organization
Contact information
Practice address
1047 S MAGUIRE ST, WARRENSBURG, MO 64093-2618
(660) 747-7449
(660) 747-5037
Mailing address
PO BOX 1117, WARRENSBURG, MO 64093-7117
(660) 747-7449
(660) 747-5037
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2004007107
MO
Other
Enumeration date
07/15/2006
Last updated
02/04/2008
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