Organization
LANDRUM DRUG INC
Active
Other names
LANDRUM DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
JILL FREITAS RPH (OWNER/PIC/SECRETARY)
(417) 461-1100
Entity
Organization
Contact information
Practice address
106 E MOUNT VERNON BLVD, MOUNT VERNON, MO 65712-2040
(417) 461-1100
(417) 461-1103
Mailing address
106 E MOUNT VERNON BLVD, MOUNT VERNON, MO 65712-2040
(417) 461-1100
(417) 461-1103
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2008012584
MO
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821264433
—
MO
01
—
2049640
PK
—
Enumeration date
05/03/2008
Last updated
07/07/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up