Organization Name: | RED CROSS PHARMACY, INC. |
NPI Number: | 1366520967 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SCOTT BRENDEN HARTWIG (CO-PRESIDENT/CEO (OWNER)) |
Mailing Address: | 300 Se Salem St Oak Grove |
State: | MO US |
Postal Code: | 640759299 |
Phone Number: | 8166908600 |
Fax Number: | 8166258160 |
NPI Enumeration Date: | 11/01/2006 |
NPI Last Update Date: | 04/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 2003022480 |
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 |