Organization
TIM MITCHELL MEDICAL, INC
Active
Other names
Mitchell's Downtown Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM MITCHELL R.PH. (OWNER/PRESIDENT)
(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) 455-1883
(417) 455-2781
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600003470
—
MO
Enumeration date
09/13/2013
Last updated
03/24/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up