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PARKLAND APOTHECARY LLC NPI 1114917903


NPI Information

NPI: 1114917903
Provider Name: PARKLAND APOTHECARY LLC

Doing Business As: PARKLAND HEALTH MART PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
1131 N DESLOGE DR
DESLOGE, MO
ZIP 63601
Phone: (573) 431-6677
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PARKLAND APOTHECARY LLC is a community/retail pharmacy pharmacy in Desloge, MO. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. PARKLAND APOTHECARY LLC NPI is 1114917903. The provider is registered as an organization entity type.
The provider Is Doing Business As Parkland Health Mart Pharmacy.

The provider's business location address is:

1131 N DESLOGE DR
DESLOGE, MO
ZIP 63601-936
Phone: (573) 431-6677
Fax: (573) 431-3833

The provider's authorized official is Lisa Umfleet .
The authorized official title is President and has the following contact phone number (573) 431-6677.

The enumeration date for this NPI number is 10/24/2005 and was last updated on 12/16/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacyNo
33336C0003XPharmacyCommunity/Retail Pharmacy2005028538MISSOURIYes
43336S0011XPharmacySpecialty PharmacyNo
53336C0004XPharmacyCompounding PharmacyNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1606222008MEDICAIDMISSOURI
22049127OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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