Organization Name: | SCHNUCK MARKETS INC |
NPI Number: | 1457396467 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LISA HERZWURM (MGR 3RD PARTY CLAIMS) |
Mailing Address: | 3926 Goodman Rd W Horn Lake |
State: | MS US |
Postal Code: | 386371324 |
Phone Number: | 6623937868 |
Fax Number: | 6623931076 |
NPI Enumeration Date: | 06/17/2006 |
NPI Last Update Date: | 12/04/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 5036 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MS |
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 |