Organization
MILLER REXALL DRUG, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIENNE MIGNON KLINGSMITH (PIC)
(660) 385-2167
Entity
Organization
Contact information
Practice address
115 VINE ST, MACON, MO 63552-1654
(660) 385-2167
(660) 385-6245
Mailing address
PO BOX 486, 115 VINE ST, MACON, MO 63552-0486
(660) 385-2167
(660) 385-6245
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600122402
—
MO
Enumeration date
07/05/2006
Last updated
05/20/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us