Mitchell'S Downtown Drug Store
LBN: Tim Mitchell Medical Inc
Mitchell'S Downtown Drug Store is an health care organization with primary practice located at 115 E Hickory St , Neosho MO 64850-1806. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Tim Mitchell Medical Inc can be contacted via phone (417) 451-3776, or through Mitchell, Tim G via phone (417) 451-3776.
Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 2012041816 | Missouri |
| Suppliers / Long Term Care Pharmacy | 3336L0003X | 2012041816 | Missouri |
Profile Details
| NPI number | 1144566811 |
|---|---|
| LBN Legal business name | Tim Mitchell Medical Inc |
| DBA Doing business as | Mitchell'S Downtown Drug Store |
| Authorized official | Mitchell, Tim G RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 27th, 2012 |
| Last updated | Apr 24th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144566811 | NPPES |
| Missouri | MEDICAID | 600003470 |
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