Organization
TIM MITCHELL MEDICAL INC
Active
Other names
Mitchell's Downtown Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM G MITCHELL RPH (PHARMACY MANAGER)
(417) 451-3776
Entity
Organization
Contact information
Practice address
115 E HICKORY ST, NEOSHO, MO 64850-1806
(417) 451-3776
(417) 451-2332
Mailing address
719 S NEOSHO BLVD, NEOSHO, MO 64850-2051
(417) 451-3776
(417) 451-2332
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2012041816
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600003470
—
MO
Enumeration date
12/27/2012
Last updated
05/01/2025
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