Organization
LAMARTIS INC
Active
Other names
THE MED STATION
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN SMITH RPH (PIC)
(417) 681-0999
Entity
Organization
Contact information
Practice address
54B SE 1ST LN, LAMAR, MO 64759-9226
(417) 681-0999
(417) 681-0438
Mailing address
107 SE 1ST LN, LAMAR, MO 64759-9220
(417) 681-0999
(417) 681-0438
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2003019292
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2048950
PK
—
05
—
606068203
—
MO
05
—
626068209
—
MO
Enumeration date
08/18/2006
Last updated
12/08/2016
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