Organization
MK INFUSION PHARMACY LLC
Active
Other names
MK Infusion Pharmacy, LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
MISSY MONTGOMERY PHARM.D. (CLINICAL PHARMACIST / CEO)
(256) 320-7611
Entity
Organization
Contact information
Practice address
307 W STATE ST, MUSCLE SHOALS, AL 35661-2835
(256) 320-7611
(256) 320-7607
Mailing address
307 W STATE ST, MUSCLE SHOALS, AL 35661-2835
(256) 320-7611
(256) 320-7607
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
14795/7.1
MS
333600000X
Pharmacy
0000005791
TN
3336H0001X
Home Infusion Therapy Pharmacy
Primary
114617
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187872
—
AL
01
—
2159515
PK
—
Enumeration date
04/11/2016
Last updated
12/15/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us