Organization
RED CROSS PHARMACY, INC
Active
Other names
Red Cross LTC Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT B HARTWIG (CO-PRESIDENT/CEO)
(660) 886-5535
Entity
Organization
Contact information
Practice address
401 MAIN ST, BELTON, MO 64012-2511
(816) 892-1200
(816) 331-2400
Mailing address
PO BOX 917, MARSHALL, MO 65340-0917
(660) 886-5535
(660) 886-6320
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
000792
MO
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2603125
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
600057707
—
MO
05
—
620057711
—
MO
Enumeration date
02/02/2007
Last updated
08/23/2012
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