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Organization

MARSHFIELD CLINIC PHARMACY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL ANTHONY VINEHOUT RPH (OWNER/PHARMACIST-IN-CHARGE)
(417) 468-4442
Entity
Organization

Contact information

Practice address
483 POMME DE TERRE, MARSHFIELD, MO 65706-2386
(417) 468-4442
(417) 468-4462
Mailing address
483 POMME DE TERRE, MARSHFIELD, MO 65706-2386
(417) 468-4442
(417) 468-4462

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
2004036065
MO

Other

Enumeration date
10/28/2010
Last updated
10/28/2010
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