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ROBERT PRITCHARD NPI 1104915891


NPI Information

NPI: 1104915891
Provider Name: ROBERT PRITCHARD

Doing Business As: PARK PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
37 DOCTORS PARK
SUITE 2
CAPE GIRARDEAU, MO
ZIP 63703
Phone: (573) 334-4432
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ROBERT PRITCHARD is a community/retail pharmacy pharmacy in Cape Girardeau, MO. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. ROBERT PRITCHARD NPI is 1104915891. The provider is registered as an organization entity type.
The provider Is Doing Business As Park Pharmacy.

The provider's business location address is:

37 DOCTORS PARK
SUITE 2
CAPE GIRARDEAU, MO
ZIP 63703-956
Phone: (573) 334-4432
Fax: (573) 334-7290

The provider's authorized official is Robert Pritchard .
The authorized official title is Owner And Pharmacist and has the following contact phone number (573) 334-4432.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 12/22/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy004500MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12050673OTHERPK
20420100001MEDICARE NSC
3602201501MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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