| NPI | 1477230845 |
|---|---|
| Doing Business As | MITCHELL'S DRUG STORES ON THE BOULEVARD |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY G MITCHELL Owner 417-451-9501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2023-06-28 |
| Last Update Date | 2023-06-28 |