OrganizationActive
Physician Park Investment Company
NPI 1780830455 · Long Term Care Pharmacy · Poplar Bluff, MO
Provider details
- NPI number
- 1780830455
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Roy Winters, Pic(573) 778-9238
- License
- 2008022112 (MO)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
225 Physicians Park
Ste 100a
Poplar Bluff, MO 63901-3956
Phone: (573) 778-9238
Fax: (573) 778-9582
Street-level locationGet directions
Mailing address
225 Physicians Park
Poplar Bluff, MO 63901-3956
Other names (DBA / former)
- Doing business as
- Physicians Park Pharmacy Ltc
Registry dates
- Enumerated
- 2008-08-14
- Last updated
- 2009-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.