| NPI | 1316051386 |
|---|---|
| Doing Business As | LAKELAND PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MIKE STUART Owner 417-272-8064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 2000157086) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2024-04-23 |