Physician Park Investment Company
NPI #1780830455 in Poplar Bluff, Missouri
Provider Information
- NPI Number
- 1780830455
- Entity Type
- Organization
- Organization Name
- Physician Park Investment Company
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- Aug 14, 2008
- Last Updated
- Sep 13, 2009
Practice Location
- Address
- 225 PHYSICIANS PARK
- Address 2
- STE 100A
- City
- Poplar Bluff
- State
- Missouri
- ZIP Code
- 63901-3956
- Phone
- (573) 778-9238
Authorized Official
- Name
- ROY WINTERS
- Title
- PIC
- Phone
- (573) 778-9238
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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