Organization
BLUEGRASS PHARMABILLING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD L CALLIS (PRESIDENT)
(877) 761-1204
Entity
Organization
Contact information
Practice address
1021 KINGSWAY DR STE 11D, CAPE GIRARDEAU, MO 63701-3601
(877) 761-1204
Mailing address
1021 KINGSWAY DR STE 11D, CAPE GIRARDEAU, MO 63701-3601
(877) 761-1204
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/21/2019
Last updated
05/31/2022
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