| NPI | 1578669701 |
|---|---|
| Doing Business As | MITCHELL'S DRUG STORE ON THE BOULEVARD |
| Entity Type | Organization |
| Authorized Contact | TIM MITCHELL Owner/Manager 417-451-9501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 2003027740) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2021-12-06 |