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General NPI Number Information
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NPI Number | 1972109619
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Entity Type | Organization
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Legal Business Name | PARKLAND PHARMACY DEVELOPMENT LLC
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Dates
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Enumeration Date | 12/08/2020
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Last Update Date | 01/25/2025
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Provider Practice Location Address
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Address Line | 137 FRONT ST
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City | GREENVILLE
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State | MO
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Zip | 63944
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Country | US
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Telephone | 573-223-8062
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Fax | 573-223-8063
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Provider Business Mailing Address
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Address Line | 1131 N DESLOGE DR
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City | DESLOGE
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State | MO
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Zip | 63601-2936
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Country | US
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Telephone | 573-431-6677
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Fax | 573-431-3833
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MRS. LISA KAY UMFLEET
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Credential | BS PHARM
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Telephone | 573-431-6677
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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