Provider Demographics
NPI:1376014761
Name:MH MISSION HOSPITAL, LLLP
Entity Type:Organization
Organization Name:MH MISSION HOSPITAL, LLLP
Other - Org Name:MISSION COMMUNITY PHARMACY - MEDICAL PARK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:RETAIL OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:
Authorized Official - Last Name:TUELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-551-4858
Mailing Address - Street 1:2 MEDICAL PARK DR STE 100
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-7778
Mailing Address - Country:US
Mailing Address - Phone:828-213-9470
Mailing Address - Fax:828-274-8586
Practice Address - Street 1:2 MEDICAL PARK DR
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-7782
Practice Address - Country:US
Practice Address - Phone:828-213-9470
Practice Address - Fax:828-274-8586
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MH MISSION HOSPITAL, LLLP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-12-10
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy