| NPI | 1316041353 |
|---|---|
| Doing Business As | MITCHELL'S UPTOWN DRUG STORE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL C SMITH Manager 417-451-9301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 2004010987) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2021-12-29 |