Organization
ROBERT PRITCHARD
Active
Other names
Park Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT PRITCHARD RPH (OWNER AND PHARMACIST)
(573) 334-4432
Entity
Organization
Contact information
Practice address
37 DOCTORS PARK, SUITE 2, CAPE GIRARDEAU, MO 63703-4956
(573) 334-4432
(573) 334-7290
Mailing address
37 DOCTORS PARK, SUITE 2, CAPE GIRARDEAU, MO 63703-4956
(573) 334-4432
(573) 334-7290
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
004500
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2050673
PK
—
05
—
602201501
—
MO
Enumeration date
10/12/2006
Last updated
12/22/2016
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