NPI 1366704876

Parkland Pharmacy Development LLC

Organisation Community/Retail Pharmacy Fredericktown, MO

Practice location

Address: 1025 E Highway 72 Byp, Fredericktown, MO 63645-7326
Phone: (573) 783-6000
Fax: (573) 783-6008

Authorised official

Name: Jeremy Leach
Title: Owner
Phone: (573) 783-6000

Registered specialties (2)

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence 2012034351 (MO)

Other Pharmacy providers in Missouri →

Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

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Registry record

NPI: 1366704876
Entity type: Organization
NPI issued: 11 Jun 2012
Record last updated: 25 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.