Organization
MITCHELL DRUG
Active
Other names
Mitchell Drug LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BAILEY (PRESIDENT)
(308) 623-2400
Entity
Organization
Contact information
Practice address
1456 CENTER AVE, MITCHELL, NE 69357-1448
(308) 623-2400
(308) 623-2408
Mailing address
PO BOX 98, MITCHELL, NE 69357-0098
(308) 623-2400
(308) 623-2408
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
534
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2141199
PK
—
Enumeration date
07/11/2013
Last updated
08/20/2013
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