| NPI | 1780116657 |
|---|---|
| Doing Business As | LAKE REGIONAL PHARMACY - ELDON |
| Entity Type | Organization |
| Authorized Contact | PAULA SUE LITTLETON CFO 573-348-8388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 2017025596) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2025-01-07 |