Organization
C & C DISCOUNT DRUG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVERETT THOMPSON (PRES)
(816) 776-6926
Entity
Organization
Contact information
Practice address
401 WOLLARD BLVD, RICHMOND, MO 64085-1975
(816) 776-6926
Mailing address
401 WOLLARD BLVD, RICHMOND, MO 64085-1975
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
621710409
—
MO
Enumeration date
05/19/2008
Last updated
06/03/2008
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