Individual
MR. JAMES WILLIAM MERRYFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
200 W BENTON ST, WINDSOR, MO 65360-1102
(660) 647-2134
(660) 647-2653
Mailing address
200 W BENTON ST, WINDSOR, MO 65360-1102
(660) 647-2134
(660) 647-2653
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
029527
MO
183500000X
Pharmacist
2005033289
MO
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Enumeration date
09/08/2010
Last updated
08/27/2019
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