Organization
BIOSCRIP PHARMACY, INC.
Active
Other names
BioScrip Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MELANCON (VICE PRESIDENT)
(917) 449-6939
Entity
Organization
Contact information
Practice address
115A N. EUCLID AVE, ST. LOUIS, MO 63108
(314) 454-6676
(314) 367-1881
Mailing address
14847 COLLECTION CENTER DR, CHICAGO, IL 60693-0148
(800) 753-5995
(952) 352-6698
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
006064
MO
3336C0003X
Community/Retail Pharmacy
Primary
006064
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100850770F
—
OK
05
—
2378716
—
OH
05
—
54013115
—
KY
05
—
608567806
—
MO
05
—
628567802
—
MO
Enumeration date
05/23/2005
Last updated
12/03/2010
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