Organization
MIKE STUART ENTERPRISES INC
Active
Other names
LAKELAND PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL STUART RPH (OWNER PRESIDENT)
(417) 272-8064
Entity
Organization
Contact information
Practice address
104 CORTNEY LN, CRANE, MO 65633-9192
(417) 723-5241
(417) 723-5228
Mailing address
18656 BUSINESS 13, BRANSON WEST, MO 65737
(417) 272-8064
(417) 272-0073
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2006027988
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2050485
PK
—
05
—
601962608
—
MO
Enumeration date
07/21/2006
Last updated
04/23/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up