| NPI | 1780830455 |
|---|---|
| Doing Business As | PHYSICIANS PARK PHARMACY LTC |
| Entity Type | Organization |
| Authorized Contact | ROY WINTERS PIC 573-778-9238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MO 2008022112) |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2009-09-13 |