Organization
RED CROSS PHARMACY, INC
Active
Other names
Red Cross Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT HARTWIG (PRESIDENT/CEO)
(660) 886-5535
Entity
Organization
Contact information
Practice address
2303 S. HIGHWAY 65, SUITE B, MARSHALL, MO 65340-3735
(660) 831-1687
(660) 831-1688
Mailing address
PO BOX 917, MARSHALL, MO 65340-0917
(660) 886-5535
(660) 886-6320
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
2009032034
MO
3336C0003X
Community/Retail Pharmacy
Primary
2014031329
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
606154102
—
MO
Enumeration date
10/16/2009
Last updated
09/19/2014
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