Organization
MAXWELL PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATT J MAXWELL (OWNER/PHARMACY MANAGER)
(573) 822-5800
Entity
Organization
Contact information
Practice address
200 S 9TH ST, HANNIBAL, MO 63401-4203
(573) 822-5800
(573) 439-4839
Mailing address
200 S 9TH ST, HANNIBAL, MO 63401-4203
(573) 822-5800
(573) 439-4839
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2012038295
MO
Other
Enumeration date
11/07/2012
Last updated
11/07/2012
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