| NPI | 1023890746 |
|---|---|
| Doing Business As | LAKELAND PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL L STUART CEO 417-272-8064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2023-10-17 |
| Last Update Date | 2023-10-24 |