Organization
HERRMANN DRUG INC
Active
Other names
FOX GRAPE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD HERRMANN RPH (OWNER)
(417) 883-4340
Entity
Organization
Contact information
Practice address
3250 P E BATTLEFIELD, SPRINGFIELD, MO 65804-4081
(417) 883-4340
(417) 823-8270
Mailing address
3250 P E BATTLEFIELD, SPRINGFIELD, MO 65804-4081
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
005876
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2630160
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/30/2006
Last updated
08/22/2020
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