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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
300 SE SALEM ST, OAK GROVE, MO 64075-9299
(816) 690-8600
(816) 625-8160
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
2003022480
MO
3336C0003X
Community/Retail Pharmacy
Primary
2003022480
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
600586929
MO
Enumeration date
11/01/2006
Last updated
04/30/2008
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