Organization
MILLER REXALL DRUG, INC.
Active
Parent organization
MILLER REXALL DRUG, INC.
Other names
Miller Rexall Drug
Organization subpart
Yes
Provider details
NPI number
Legal business name
MILLER REXALL DRUG, INC.
Authorized official
DR. ADRIENNE MIGNON KLINGSMITH PHARM D (PHARMACIST IN CHARGE)
(660) 385-2167
Entity
Organization
Contact information
Practice address
115 VINE STREET, MACON, MO 63552-1654
(660) 385-2167
(660) 385-6245
Mailing address
PO BOX 486, MACON, MO 63552-0486
(660) 385-2167
(660) 385-6245
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2008030097
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600122402
—
MO
Enumeration date
07/29/2011
Last updated
11/18/2011
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