Organization
MRX ENTERPRISES, INC.
Active
Other names
KNISLEY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW RYAN KNISLEY PHARMD (PRESIDENT)
(740) 779-6226
Entity
Organization
Contact information
Practice address
2535 WESTERN AVE, CHILLICOTHE, OH 45601
(740) 779-6226
(740) 779-6228
Mailing address
PO BOX 898, 2535 WESTERN AVENUE, CHILLICOTHE, OH 45601-0898
(740) 779-6226
(740) 779-6228
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
021712250
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2767144
—
OH
Enumeration date
07/30/2007
Last updated
04/29/2009
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