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Organization

RIDGE MAUD DRUG CORPORATION

Active
Parent organization
RIDGE MAUD DRUG CORPORATION
Other names
Key Drugs, Key Home Health
Organization subpart
Yes

Provider details

NPI number
Legal business name
RIDGE MAUD DRUG CORPORATION
Authorized official
MARTIN H MICHEL R.PH., M.B.A., C.D.E (PRESIDENT)
(573) 785-8218
Entity
Organization

Contact information

Practice address
910 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-4242
(573) 785-8218
(573) 785-8125
Mailing address
910 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-4242
(573) 785-8218
(573) 785-8125

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
Primary
3336C0003X
Community/Retail Pharmacy
3336C0004X
Compounding Pharmacy
3336L0003X
Long Term Care Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
620125609
MO
Enumeration date
02/20/2007
Last updated
07/24/2024
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