| NPI | 1407960479 |
|---|---|
| Doing Business As | LAKE REGIONAL PHARMACY - CMC |
| Entity Type | Organization |
| Authorized Contact | PAULA SUE LITTLETON CFO 573-348-8388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MO 005731) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2025-01-07 |