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Mike Stuart Enterprises

Mike Stuart Enterprises is a health care provider in Kimberling City, MO. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 41 Kimberling City Center Lane, Kimberling City, MO 65686-0908, US
Practice Location Phone417-739-2273
Practice Location Fax417-739-1706
Legal Business NameMIKE STUART ENTERPRISES
Other Organization NameLAKELAND PHARMACY #6
Other Organization Name TypeDoing Business As Name
NPI ?1225375108
Entity TypeOrganization
Enumeration Date ? Jan 11, 2013
Last Update Date ? Jan 11, 2013
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Mike Stuart Enterprises

SpecialtySpecializationLicenseLicense State
Pharmacy 004551Missouri

legacy-id-icon Legacy Provider IDs of Mike Stuart Enterprises

Provider IdIssuer StateIssuer TypeIssuer
2640870OtherNCPDP PROVIDER IDENTIFICATION NUMBER

official-icon Authorized Official of Mike Stuart Enterprises

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Mike Stuart Enterprises's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Micheal Stuart
Authorized Official Title/PositionOWNER
Authorized Official Phone Number417-272-8064