Organization
RED CROSS PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT BRENDEN HARTWIG (CO-PRESIDENT/CEO (OWNER))
(660) 886-5535
Entity
Organization
Contact information
Practice address
301 SW EAGLES PKWY, GRAIN VALLEY, MO 64029-8521
(816) 847-2990
(816) 847-2060
Mailing address
52 E ARROW ST, MARSHALL, MO 65340-2101
(660) 886-5535
(660) 886-6320
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
2003015457
MO
3336C0003X
Community/Retail Pharmacy
Primary
2003015457
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
606057602
—
MO
Enumeration date
11/02/2006
Last updated
04/30/2008
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