Miller Rexall Drug, Inc

LBN: Miller Rexall Drug, Inc
Miller Rexall Drug, Inc is an health care organization with primary practice located at 115 Vine St , Macon MO 63552-1654. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Miller Rexall Drug, Inc can be contacted via phone (660) 385-2167, or through Klingsmith, Adrienne Mignon via phone (660) 385-2167.

Contact Information

Primary practice address
115 Vine St Macon MO 63552-1654
Phone: (660) 385-2167
Fax: (660) 385-6245
Website:
Map and Directions
Authorized official contact:
Name: Klingsmith, Adrienne Mignon
Phone: (660) 385-2167

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1255362737
LBN Legal business name Miller Rexall Drug, Inc
DBA Doing business as
Authorized official Klingsmith, Adrienne Mignon
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2006
Last updated May 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255362737 NPPES
Missouri MEDICAID 600122402

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