Parkland Health Mart Pharmacy
LBN: Parkland Apothecary Llc
Parkland Health Mart Pharmacy is an health care organization with primary practice located at 1131 N Desloge Dr , Desloge MO 63601-2936. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Parkland Apothecary Llc can be contacted via phone (573) 431-6677, or through Umfleet, Lisa via phone (573) 431-6677.
Contact Information
Primary practice address
1131 N Desloge Dr
Desloge MO 63601-2936
Phone: (573) 431-6677
Fax: (573) 431-3833
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
Suppliers / Pharmacy | 333600000X | ||
Suppliers / Community/Retail Pharmacy | 3336C0003X | 2005028538 | Missouri |
Suppliers / Compounding Pharmacy | 3336C0004X | ||
Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
NPI number | 1114917903 |
---|---|
LBN Legal business name | Parkland Apothecary Llc |
DBA Doing business as | Parkland Health Mart Pharmacy |
Authorized official | Umfleet, Lisa RPH |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Oct 24th, 2005 |
Last updated | Dec 16th, 2019 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1114917903 | NPPES |
Other | 2049127 | PK | |
MEDICAID | 606222008 | PK |
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