Organization
MLH-RX, LLC
Active
Other names
Eldon Drug Company
Organization subpart
No
Provider details
NPI number
Authorized official
MIRANDA HENLEY (OWNER)
(573) 392-4588
Entity
Organization
Contact information
Practice address
101 S MAPLE ST, ELDON, MO 65026-1811
(573) 392-4588
(573) 392-4425
Mailing address
101 S MAPLE ST, ELDON, MO 65026-1811
(573) 392-4588
(573) 392-4425
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
601917602
—
MO
Enumeration date
02/21/2019
Last updated
02/21/2019
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