NPI: 1578669701 · NEOSHO, MO 64850 · Community/Retail Pharmacy · NPI assigned 09/15/2006
| Authorized Official | MITCHELL, TIM (OWNER/MANAGER) |
| NPI Enumeration Date | 09/15/2006 |
Other providers sharing the same authorized official: MITCHELL, TIM
| Provider | City | State | Total Paid |
|---|---|---|---|
| CHAMBERLAIN SCHOOL DISTRICT | PLATTE | SD | $36K |
| TIM MITCHELL MEDICAL, INC. | NEOSHO | MO | $311.18 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 72 | $4K |