Organization
GREENFIELD PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY KYLE MEENTS PHARM.D. (PRESIDENT, PHARMACIST IN CHARGE)
(417) 637-2909
Entity
Organization
Contact information
Practice address
105 NORTH GRAND, SUITE 1, GREENFIELD, MO 65661
(417) 637-2909
(417) 637-5621
Mailing address
PO BOX 158, GREENFIELD, MO 65661-0158
(417) 637-2909
(417) 637-5621
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
004679
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
621294503
—
MO
Enumeration date
02/27/2007
Last updated
12/17/2018
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