Organization
MARSHFIELD CLINIC PHARMACY LLC
Active
Other names
Marshfield Clinic Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ANTHONY VINEHOUT (OWNER)
(417) 468-4442
Entity
Organization
Contact information
Practice address
483 POMME DE TERRE, MARSHFIELD, MO 65706-2386
(417) 468-4442
Mailing address
483 POMME DE TERRE, MARSHFIELD, MO 65706-2386
(417) 468-4442
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
606937902
—
MO
Enumeration date
02/01/2019
Last updated
02/01/2019
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