Organization
PARKLAND PHARMACY DEVELOPMENT LLC
Active
Other names
Parkland Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY LEACH RPH (OWNER)
(573) 783-6000
Entity
Organization
Contact information
Practice address
1025 E HIGHWAY 72 BYP, FREDERICKTOWN, MO 63645-7326
(573) 783-6000
(573) 783-6008
Mailing address
1025 E HIGHWAY 72 BYP, FREDERICKTOWN, MO 63645-7326
(573) 783-6000
(573) 783-6008
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2012034351
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2137194
PK
—
Enumeration date
06/11/2012
Last updated
01/25/2025
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