Organization
RED CROSS PHARMACY, LLC
Active
Other names
Red Cross LTC Pharmacy
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
157 S JEFFERSON AVE, MARSHALL, MO 65340-2132
(660) 886-5515
(660) 886-2890
Mailing address
PO BOX 917, MARSHALL, MO 65340-0917
(660) 886-5535
(660) 886-6320
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
2004003515
MO
3336H0001X
Home Infusion Therapy Pharmacy
2004003515
MO
3336L0003X
Long Term Care Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
2004003515
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
606105005
—
MO
Enumeration date
11/02/2006
Last updated
05/07/2024
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