Organization
RED CROSS PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT B HARTWIG (CO-PRESIDENT/CEO)
(660) 886-5535
Entity
Organization
Contact information
Practice address
103 E MECHANIC ST, HARRISONVILLE, MO 64701-2461
(816) 380-3321
(816) 887-5206
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
2008025199
MO
333600000X
Pharmacy
Primary
004160
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600280705
—
MO
Enumeration date
08/15/2005
Last updated
11/04/2010
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