Parkland Health Mart Pharmacy

LBN: Professional Prescription Services Llc
Parkland Health Mart Pharmacy is an health care organization with primary practice located at 348 Festus Centre Dr , Festus MO 63028-2458. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Professional Prescription Services Llc can be contacted via phone (636) 933-2224, or through Rademaker, Douglas via phone (636) 933-2224.

Contact Information

Primary practice address
348 Festus Centre Dr Festus MO 63028-2458
Phone: (636) 933-2224
Fax: (636) 933-2264
Website:
Map and Directions
Authorized official contact:
Name: Rademaker, Douglas RPH
Phone: (636) 933-2224

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 2004029045 Missouri

Profile Details

NPI number 1639165160
LBN Legal business name Professional Prescription Services Llc
DBA Doing business as Parkland Health Mart Pharmacy
Authorized official Rademaker, Douglas RPH
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2005
Last updated Jun 23rd, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1639165160 NPPES
Missouri MEDICAID 606159507
Missouri Other 2049048

Popular Providers