Tim Mitchell Medical, Inc

NPI 1053422121 - Pharmacy - 3336C0003X

NPI Details
NPI 1053422121
Enumeration Date 08/31/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name GLORIA GLORIA
Position MANAGER
Phone (417) 223-7455
Fax (417) 223-7465
Practice Location
412 US HIGHWAY 71
SUITE I
PINEVILLE MO, 64856-9310, US
Phone (417) 223-7455
Fax (417) 223-7465
Business Location
1009 S NEOSHO BLVD
NEOSHO MO, 64850-2008, US
Phone (417) 455-1882
Fax (417) 455-2781
Toxanomy
Taxonomy Code 3336C0003X
License State Missouri
License Number 2005005747
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According to our database, Tim Mitchell Medical, Inc NPI is 1053422121, taxonomy code is 3336C0003X and license number is 2005005747, license state is located at Missouri. Tim Mitchell Medical, Inc physically located at 412 Us Highway 71, Pineville MO, 64856-9310. NPI Number 1033115704 has the healthcare provider type.

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1053422121 NPI number is provided on an as is basis without warranty of any kind. 1053422121 is maintained by the National Plan & Provider Enumeration System. The contents of Tim Mitchell Medical, Inc are for informational purposes only.