Organization
DISCOUNT DRUG INC
Active
Other names
C & C Discount Drug
Organization subpart
No
Provider details
NPI number
Authorized official
EVERETT D THOMPSON (PRESIDENT)
(816) 776-6926
Entity
Organization
Contact information
Practice address
401 WOLLARD BLVD, RICHMOND, MO 64085-1975
(816) 776-6926
(816) 776-3144
Mailing address
401 WOLLARD BLVD, RICHMOND, MO 64085-1975
(816) 776-6926
(816) 776-3144
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
004026
MO
3336C0003X
Community/Retail Pharmacy
Primary
004026
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2617960
NCPDP
—
01
—
27739018
BLUECROSS
—
Enumeration date
08/31/2006
Last updated
11/06/2007
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