Organization
REDNEB INC
Active
Other names
Bender's Prescription Shop
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY SCHERMERHORN (OWNER)
(816) 279-1668
Entity
Organization
Contact information
Practice address
3829 FREDERICK AVE, SAINT JOSEPH, MO 64506-3020
(816) 279-1668
(816) 279-6425
Mailing address
PO BOX 8113, SAINT JOSEPH, MO 64508-8113
(816) 279-1668
(816) 279-6425
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
431864092
MO
3336C0003X
Community/Retail Pharmacy
Primary
006507
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600308605
—
MO
05
—
620308601
—
MO
Enumeration date
10/05/2005
Last updated
05/29/2015
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