Mitchell Pharmacy

LBN: Arcadia Ego Inc
Mitchell Pharmacy is an health care organization with primary practice located at 123 1St St , Kennett MO 63857-2051. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Arcadia Ego Inc can be contacted via phone (573) 888-9094, or through Mitchell, Brian via phone (573) 888-9094.

Contact Information

Primary practice address
123 1St St Kennett MO 63857-2051
Phone: (573) 888-9094
Fax: (573) 888-5946
Website:
Map and Directions
Authorized official contact:
Name: Mitchell, Brian RPH
Phone: (573) 888-9094

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 2005035753 Missouri

Profile Details

NPI number 1558588657
LBN Legal business name Arcadia Ego Inc
DBA Doing business as Mitchell Pharmacy
Authorized official Mitchell, Brian RPH
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2007
Last updated Jan 12th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558588657 NPPES
Other 2608149 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 600745400 NCPDP PROVIDER IDENTIFICATION NUMBER

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