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MARSHFIELD CLINIC PHARMACY LLC NPI 1336293828


NPI Information

NPI: 1336293828
Provider Name: MARSHFIELD CLINIC PHARMACY LLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
483 POMME DE TERRE
MARSHFIELD, MO
ZIP 65706
Phone: (417) 468-4442
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MARSHFIELD CLINIC PHARMACY LLC is a durable medical equipment medical supplies in Marshfield, MO. The provider is 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. MARSHFIELD CLINIC PHARMACY LLC NPI is 1336293828. The provider is registered as an organization entity type.

The provider's business location address is:

483 POMME DE TERRE
MARSHFIELD, MO
ZIP 65706-386
Phone: (417) 468-4442
Fax: (417) 468-4462

The provider's authorized official is Michael Anthony Vinehout .
The authorized official title is Managing Member, Pic and has the following contact phone number (417) 468-4442.

The enumeration date for this NPI number is 1/22/2007 and was last updated on 4/29/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical Supplies2004036065MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1626937908MEDICAIDMISSOURI
25355760001MEDICARE NSCMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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