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Contact Information

MUSTANG DRUG INC
704 C SOUTH HWY 59
ANDERSON, MO64831
 Phone: 417-845-7799
 Fax: 417-845-7797
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for MUSTANG DRUG INC

NPI # 1225142292
LBN Legal business name MUSTANG DRUG INC
Authorized official MICHAEL THORTON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/18/2006
Last updated 06/28/2016 - About 10 years ago
Identifiers
MO License # 1999140201
MO Medicaid 604754101
Other 2048293 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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