Organization
RED CROSS PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT BRENDEN HARTWIG (CO-PRESIDENT/CEO (OWNER))
(660) 886-5535
Entity
Organization
Contact information
Practice address
161 S BENTON AVE, MARSHALL, MO 65340-1836
(660) 886-5533
(660) 886-2121
Mailing address
PO BOX 917, MARSHALL, MO 65340-0917
(660) 886-5533
(660) 886-6320
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
000132
MO
3336C0003X
Community/Retail Pharmacy
Primary
000132
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600305205
—
MO
Enumeration date
11/01/2006
Last updated
05/10/2011
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