Organization
MILLER REXALL DRUG STORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD CHARLES MILLER RPH (OWNER)
(660) 385-2167
Entity
Organization
Contact information
Practice address
115 VINE ST, MACON, MO 63552-1654
(660) 385-2167
(660) 385-6245
Mailing address
115 VINE ST, P.O. BOX 384, MACON, MO 63552-1654
(660) 385-2167
(660) 385-6245
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
027206
MO
Other
Enumeration date
08/30/2007
Last updated
08/30/2007
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