Organization
MILLERS MEDICAL ARTS INC
Active
Parent organization
MILLERS MEDICAL ARTS INC
Other names
Millers Medical Arts
Organization subpart
Yes
Provider details
NPI number
Legal business name
MILLERS MEDICAL ARTS INC
Authorized official
TERRY SMITH RPH (OWNER)
(660) 885-5208
Entity
Organization
Contact information
Practice address
800 MAIN ST, BOONVILLE, MO 65233-1658
(660) 882-5208
Mailing address
800 MAIN ST, BOONVILLE, MO 65233-1658
(660) 882-5208
(660) 882-8125
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2604519
NCPDP
MO
Enumeration date
01/24/2019
Last updated
09/24/2020
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