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
332B00000X
Durable Medical Equipment & Medical Supplies
054.018532
IL
333600000X
Pharmacy
22-16480
KS
3336C0003X
Community/Retail Pharmacy
Primary
OS02509
AR
3336C0004X
Compounding Pharmacy
2013042541
MO
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0121239
—
IA
05
—
1676643
—
AK
05
—
201197380A
—
KS
05
—
202851407
—
AR
01
—
2143354
PK
—
05
—
601917602
—
MO
Enumeration date
09/06/2013
Last updated
05/16/2018
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