PHYSICIAN PARK INVESTMENT COMPANY NPI 1780830455

NPI Information

  • NPI: 1780830455
  • Provider Name: PHYSICIAN PARK INVESTMENT COMPANY
  • Classification: Pharmacy - 3336L0003X
  • Specialization: Long Term Care Pharmacy
  • Entity Type: Organization
  • Doing Business As: PHYSICIANS PARK PHARMACY LTC
  • Address: 225 PHYSICIANS PARK
    STE 100A
    POPLAR BLUFF, MO
    ZIP 63901
  • Phone: (573) 778-9238

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NPI Details

PHYSICIAN PARK INVESTMENT COMPANY is a long term care pharmacy pharmacy in Poplar Bluff, MO. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. PHYSICIAN PARK INVESTMENT COMPANY NPI is 1780830455. The provider is registered as an organization entity type.
The provider Is Doing Business As Physicians Park Pharmacy Ltc.

The provider's business location address is:

225 PHYSICIANS PARK
STE 100A
POPLAR BLUFF, MO
ZIP 63901-956
Phone: (573) 778-9238
Fax: (573) 778-9582

The provider's authorized official is Roy Winters .
The authorized official title is Pic and has the following contact phone number (573) 778-9238.

The enumeration date for this NPI number is 8/14/2008 and was last updated on 9/13/2009.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336L0003XPharmacyLong Term Care Pharmacy2008022112MISSOURIYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12638142OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

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: 11/21/2025

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