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
4620 J C NICHOLS PKWY, STE 417, KANSAS CITY, MO 64112-1624
(816) 561-1933
Mailing address
10050 CROSSTOWN CIR, STE 300, EDEN PRAIRIE, MN 55344-3374
(800) 753-5995
(952) 352-6698
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
006007
MO
3336C0003X
Community/Retail Pharmacy
Primary
6007
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100438130A
—
KS
05
—
100850770B
—
OK
05
—
602771404
—
MO
05
—
622771400
—
MO
Enumeration date
05/23/2005
Last updated
12/03/2010
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