| NPI | 1558588657 |
|---|---|
| Doing Business As | MITCHELL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BRIAN MITCHELL Owner & PIC 573-888-9094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 2005035753) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2012-01-12 |