Organization
RX, INC
Active
Other names
Medicap Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAN M FREUND R.PH (PRESIDENT/OWNER)
(573) 760-0200
Entity
Organization
Contact information
Practice address
800 VALLEY CREEK DR, FARMINGTON, MO 63640-1969
(573) 760-0200
(573) 760-8777
Mailing address
800 VALLEY CREEK DR, FARMINGTON, MO 63640-1969
(573) 760-0200
(573) 760-8777
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
MO
3336C0003X
Community/Retail Pharmacy
Primary
040157
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2630196
NCPDP #
MO
05
—
608084109
—
MO
Enumeration date
07/01/2006
Last updated
03/07/2023
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