| NPI | 1104915891 |
|---|---|
| Doing Business As | PARK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ROBERT PRITCHARD Owner And Pharmacist 573-334-4432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 004500) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2016-12-22 |