Organization
DR MAMAE, INC.
Active
Other names
One to One Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA MCDANEL BS (PRESIDENT)
(660) 947-2484
Entity
Organization
Contact information
Practice address
121 S 16TH ST, UNIONVILLE, MO 63565-1624
(660) 947-2480
(660) 947-7912
Mailing address
121 S 16TH ST, UNIONVILLE, MO 63565-1624
(660) 947-2480
(660) 947-7912
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2003000543
MO
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0561860
—
IA
01
—
2051475
PK
—
05
—
601347917
—
MO
05
—
621347905
—
MO
Enumeration date
01/11/2007
Last updated
06/16/2016
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