Marshfield Clinic Pharmacy LLC

Organization Active NPI Long Term Care Pharmacy · Marshfield, MO

NPI 1285199463 · NPPES record last updated Feb 1, 2019

Key facts

NPI
1285199463
Entity type
Organization (NPI type 2)
Primary specialty
Long Term Care Pharmacy 3336L0003X
Legal business name
MARSHFIELD CLINIC PHARMACY LLC
Practice address
483 Pomme de Terre
Marshfield, MO 65706-2386
Phone
(417) 468-4442
NPI assigned
Feb 1, 2019
Organization subpart
No

Authorized official

Name
Michael Anthony Vinehout
Title
Owner
Phone
(417) 468-4442

Corporate family (same tax ID) 3

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Marshfield Clinic Pharmacy LLC (4 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Yes

Addresses

Primary practice location

483 Pomme de Terre
Marshfield, MO 65706-2386

Mailing address

483 Pomme de Terre
Marshfield, MO 65706-2386
Phone (417) 468-4442

Other identifiers

IdentifierTypeStateIssuer
606937902MedicaidMO

Other names

  • Marshfield Clinic Pharmacy Doing business as

Other providers in Marshfield, MO

All providers in Marshfield, MO · Long Term Care Pharmacy in Missouri

Sources for this page

Verify at the official NPI Registry.