Organization
PRATT'S REXALL DRUGS, INC.
Active
Other names
Pratt's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG N WILLIMANN R.PH (PHARMACIST)
(573) 237-3321
Entity
Organization
Contact information
Practice address
100 DWAYNE VON BERHEN DR, NEW HAVEN, MO 63068-3207
(573) 237-3321
(573) 237-2005
Mailing address
100 DWAYNE VON BERHEN DR, NEW HAVEN, MO 63068-3207
(573) 237-3321
(573) 237-2005
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
129
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600447003
—
MO
Enumeration date
06/13/2007
Last updated
03/19/2009
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