Organization
PARKLAND PHARMACY DEVELOPMENT LLC
Active
Other names
Parkland Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LISA UMFLEET RPH (SECRETARY OF LLC, OWNER)
(573) 747-8333
Entity
Organization
Contact information
Practice address
1500 N HIGHWAY 21, IRONTON, MO 63650-9147
(573) 546-6000
(573) 546-6001
Mailing address
1025 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
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2013024667
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669814182
—
MO
01
—
2140129
PK
—
Enumeration date
07/25/2013
Last updated
01/25/2025
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