Organization
PARK PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN WOOD PHARMD (OWNER)
(573) 335-8207
Entity
Organization
Contact information
Practice address
37 DOCTORS PARK STE 2, CAPE GIRARDEAU, MO 63703-4903
(573) 334-4432
Mailing address
710 BROADWAY ST, CAPE GIRARDEAU, MO 63701-5514
(573) 335-8207
(573) 335-4904
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/22/2017
Last updated
08/22/2017
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