| NPI | 1710950795 |
|---|---|
| Doing Business As | MINERAL AREA PHARMACY-DME |
| Entity Type | Organization |
| Authorized Contact | RICK JENKINS CFO 573-756-4581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2020-08-22 |