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 2 registered licenses in different health care specialties including Laboratories / Clinical Medical Laboratory, Suppliers / Community/Retail 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 via phone (417) 451-3776.

Contact Information

Primary practice address
115 E Hickory St Neosho MO 64850-1806
Phone: (417) 451-3776
Fax: (417) 451-2332
Website:
Map and Directions
Authorized official contact:
Name: Mitchell, Tim R.PH.
Phone: (417) 451-3776

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1184059784
LBN Legal business name Tim Mitchell Medical, Inc
DBA Doing business as Mitchell'S Downtown Drug Store
Authorized official Mitchell, Tim R.PH.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2013
Last updated Mar 24th, 2022 - about 3 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 1184059784 NPPES
Missouri MEDICAID 600003470

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