Organization
JARCO PHARMACIES, INC.
Active
Other names
Linn Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBROAH R KEAVENY (CONTRACTING MANAGER)
(612) 227-7811
Entity
Organization
Contact information
Practice address
304 E MAIN ST, LINN, MO 65051-9000
(573) 897-4140
(573) 897-4250
Mailing address
2100 BROOKWOOD DR, LITTLE ROCK, AR 72202-1734
(918) 858-4619
(918) 592-4585
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
004340
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600587828
—
MO
01
—
624952800
MEDICAID DME
MO
Enumeration date
02/20/2007
Last updated
02/16/2011
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