Organization
MANE RX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZENON K CRAWFORD (OWNER)
(573) 620-2006
Entity
Organization
Contact information
Practice address
223 N MAIN ST STE 204, SIKESTON, MO 63801-4211
(573) 620-2006
(417) 200-8202
Mailing address
223 N MAIN ST STE 204, SIKESTON, MO 63801-4211
(573) 620-2006
(417) 200-8202
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/18/2022
Last updated
04/18/2022
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