| NPI | 1992130173 |
|---|---|
| Doing Business As | ELDON DRUG COMPANY |
| Entity Type | Organization |
| Authorized Contact | MIRANDA HENLEY Owner 573-392-4588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AR OS02509) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 054.018532) |
| 333600000X Pharmacy (Licence: KS 22-16480) | |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: MO 2013042541) | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2018-05-16 |