Organization
MITCHELL DRUG OF MALDEN LLC
Active
Other names
Mitchell Drug of Malden
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES HARLAN (PIC)
(573) 281-2299
Entity
Organization
Contact information
Practice address
1128 N DOUGLASS ST, MALDEN, MO 63863-1342
(573) 281-2299
(573) 281-3391
Mailing address
1128 N DOUGLASS ST, MALDEN, MO 63863-1342
(573) 281-2299
(573) 281-3391
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2013033956
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2142079
PK
—
Enumeration date
09/17/2013
Last updated
09/17/2013
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