Organization
PARKLAND APOTHECARY LLC
Active
Other names
Parkland Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LISA UMFLEET RPH (PRESIDENT)
(573) 431-6677
Entity
Organization
Contact information
Practice address
1131 N DESLOGE DR, DESLOGE, MO 63601-2936
(573) 431-6677
(573) 431-3833
Mailing address
1131 N DESLOGE DR, DESLOGE, MO 63601-2936
(573) 431-6677
(573) 431-3833
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2005028538
MO
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2049127
PK
—
05
—
606222008
—
MO
Enumeration date
10/24/2005
Last updated
01/25/2025
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