LANDRUM DRUG INC
Medical Equipment Supplier Yellow Pages
Mount Vernon, Missouri
Provider NPI: 1821264433
Organization Information:Organization Name: LANDRUM DRUG INC
Practice Location:
1319 S LANDRUM ST STE E MOUNT VERNON, MO 65712 US
Tel: 417-461-1100 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1319 S LANDRUM ST STE E MOUNT VERNON, MO 65712 US
Tel: 417-461-1100 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336L0003X | Suppliers Pharmacy Long Term Care Pharmacy | ||
Y | 3336C0003X | Suppliers Pharmacy | MO | 2008012584 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PK | 2049640 | 01 | |
1821264433 | MO | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin