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Organization

EASTSIDE PHARMACY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHEN K ROWLAND PIC, RPH (OWNER/PIC)
(573) 686-7238
Entity
Organization

Contact information

Practice address
400 E PINE ST, POPLAR BLUFF, MO 63901-5401
(573) 686-7238
(573) 686-7239
Mailing address
400 E PINE ST, POPLAR BLUFF, MO 63901-5401
(573) 686-7238
(573) 686-7239

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1750421079
MO
Enumeration date
01/14/2026
Last updated
01/14/2026
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