Organization
MERRYFIELD PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES W MERRYFIELD RPH (PHARMACIST)
(660) 647-2134
Entity
Organization
Contact information
Practice address
200 W BENTON ST, WINDSOR, MO 65360-1102
(660) 647-2134
(660) 647-2653
Mailing address
200 W BENTON ST, WINDSOR, MO 65360-1354
(660) 647-2134
(660) 647-2653
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
002637
MO
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2612720
NCPDP
MO
05
—
600279103
—
MO
Enumeration date
08/30/2006
Last updated
08/30/2019
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