Lake Regional Health System

NPI #1407960479 in Camdenton, Missouri

Provider Information

NPI Number: 1407960479
Entity Type: Organization
Organization Name: Lake Regional Health System
Primary Specialty: Pharmacy
Enumeration Date: Aug 18, 2006
Last Updated: Jan 7, 2025

Practice Location

Address: 1930-C NORTH BUSINESS ROUTE 5
City: Camdenton
State: Missouri
ZIP Code: 65020-2659
Phone: (573) 346-2300

Authorized Official

Name: PAULA SUE LITTLETON
Title: CFO
Phone: (573) 348-8388

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy	3336C0003X
Pharmacy - Compounding Pharmacy — Compounding Pharmacy	3336C0004X
Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy	3336L0003X
Pharmacy	333600000X	Primary

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