Individual provider · Type 1 NPI

Mackenzie Phillips

Pharmacist · Poplar Bluff, MO

NPI number 1619853330 Active

Practice location

333 S Westwood Blvd
Poplar Bluff, MO 63901-5512

Mailing address

1056 Highway C
Fredericktown, MO 63645-6900

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X2025034978 (MO)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1619853330

Mackenzie Phillips's National Provider Identifier is 1619853330, issued on Aug 15, 2025. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Poplar Bluff, MO. The record was last updated on Aug 15, 2025.