Organization Name: | GREENFIELD PHARMACY INC |
NPI Number: | 1144356502 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RANDY KYLE MEENTS (PRESIDENT, PHARMACIST IN CHARGE) |
Mailing Address: | 105 North Grand Suite 1 Greenfield |
State: | MO US |
Postal Code: | 65661 |
Phone Number: | 4176372909 |
Fax Number: | 4176375621 |
NPI Enumeration Date: | 02/27/2007 |
NPI Last Update Date: | 02/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 004679 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy 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 |