| NPI | 1336995109 |
|---|---|
| Doing Business As | LAKELAND PHARMACY #4 |
| Entity Type | Organization |
| Authorized Contact | KAREN A KNEBEL Director Of Finance 417-272-0471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2024-04-24 |
| Last Update Date | 2024-04-24 |