Organization
PHARMAX INC.
Active
Other names
dba Pharmax Pharmacy #1302
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY T MCINTOSH (PRESIDENT)
(314) 954-5510
Entity
Organization
Contact information
Practice address
610 E HIGH ST, POTOSI, MO 63664-1406
(573) 438-2189
Mailing address
610 E HIGH ST, POTOSI, MO 63664-1406
(573) 438-2189
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PS005653
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2616374
NCPDP #
MO
05
—
600399208
—
MO
01
—
620399204
MEDICAID DME
MO
Enumeration date
08/31/2006
Last updated
03/07/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up