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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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