Organization
MIKE STUART ENTERPRISES, INC.
Active
Other names
Lakeland Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL L STUART RPH (CEO)
(417) 272-8064
Entity
Organization
Contact information
Practice address
110 BEAR DR, WILLOW SPRINGS, MO 65793-7102
(417) 593-9503
Mailing address
18565 BUSINESS 13, BRANSON WEST, MO 65737-9659
(417) 593-9503
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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