Organization Name: | RED CROSS PHARAMCY, INC. |
NPI Number: | 1104919810 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SCOTT HARTWIG (CO-PRESIDENT/CEO (OWNER)) |
Mailing Address: | 600 Court St Fulton |
State: | MO US |
Postal Code: | 652511903 |
Phone Number: | 5736426892 |
Fax Number: | 5736429447 |
NPI Enumeration Date: | 10/02/2006 |
NPI Last Update Date: | 04/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 2007035720 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |