Organization
MCKENZIE PRESCRIPTION CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT L LEWIS HIS (HEARING AID SPECIALIST)
(660) 263-6710
Entity
Organization
Contact information
Practice address
643 N MORLEY ST STE A, MOBERLY, MO 65270
(660) 263-6710
(660) 263-2269
Mailing address
643 N MORLEY ST STE A, MOBERLY, MO 65270
(660) 263-6710
(660) 263-2269
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
000587
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33187300
—
MO
Enumeration date
03/04/2008
Last updated
03/04/2008
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