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Tim Mitchell Medical, Inc
Compounding Pharmacy in Neosho, Missouri
NPI 1578669701

Tim Mitchell Medical, Inc is a Compounding Pharmacy based in Neosho, MO and is specialized in Compounding Pharmacy. Tim Mitchell Medical, Inc practices in Neosho, MO. The NPI Number for Tim Mitchell Medical, Inc is 1578669701 and holds a License No. (Missouri).

The current practice location address for Tim Mitchell Medical, Inc is 719 S Neosho Blvd, Neosho, MO and can be reached out via phone at 417-451-9501 and via fax at 417-451-9594.

Location: 719 S Neosho Blvd, Neosho, MO, 64850-2051
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578669701
Provider Name
Tim Mitchell Medical, Inc
Credential
Provider Entity Type
Organization
Address
719 S Neosho Blvd, Neosho, MO, 64850-2051
Phone Number
417-451-9501
Fax Number
417-451-9594
Provider Enumeration Date
09/15/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200642940A 05 KS
200286710A 05 OK
602932303 05 MO
622932309 05 MO
institution
Provider Business Practice Location Address Details
Address
719 S Neosho Blvd
City
Neosho
State
Missouri
Zip
64850
Phone Number
417-451-9501
Fax Number
417-451-9594
person
Provider Business Mailing Address Details
Address
719 S Neosho Blvd
City
Neosho
State
Missouri
Zip
64850
Phone Number
417-451-9501
Fax Number
417-451-9594
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
2003027740 (Missouri)
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
()
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
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