Organization
RED CROSS PHARMACY, INC
Active
Other names
Red Cross LTC Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT B HARTWIG (CO-PRESIDENT/CEO (OWNER))
(660) 886-5535
Entity
Organization
Contact information
Practice address
1712 MAIN ST, HIGGINSVILLE, MO 64037-1345
(660) 584-2110
(660) 584-5589
Mailing address
PO BOX 917, MARSHALL, MO 65340-0917
(660) 886-5535
(660) 886-6320
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
2007033676
MO
3336L0003X
Long Term Care Pharmacy
Primary
2007033675
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
605194307
—
MO
Enumeration date
05/24/2006
Last updated
08/05/2013
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