Organization
CRAIN AND CARMAN INC
Active
Other names
MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
DENA FERMAN (THIRD PARTY PLAN COORDINATOR)
(314) 993-6000
Entity
Organization
Contact information
Practice address
864 N KINGSHIGHWAY ST, CAPE GIRARDEAU, MO 63701-4316
(573) 334-4761
(573) 334-6695
Mailing address
864 N KINGSHIGHWAY ST, CAPE GIRARDEAU, MO 63701-4316
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
MO
333600000X
Pharmacy
5551
MO
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2616526
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/20/2006
Last updated
08/23/2007
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