Miller Rexall Drug, Inc.

NPI #1790063428 in Macon, Missouri

Provider Information

NPI Number
1790063428
Entity Type
Organization
Organization Name
Miller Rexall Drug, Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
MILLER REXALL DRUG, INC.
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Jul 29, 2011
Last Updated
Nov 18, 2011

Practice Location

Address
115 VINE STREET
City
Macon
ZIP Code
63552-1654
Phone
(660) 385-2167

Authorized Official

Name
DR. ADRIENNE MIGNON KLINGSMITH, PHARM D
Title
PHARMACIST IN CHARGE
Phone
(660) 385-2167

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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