Osage Pharmacy, Llc

NPI 1285774828 - Durable Medical Equipment & Medical Supplies - 332B00000X

NPI Details
NPI 1285774828
Enumeration Date 02/06/2007
Last Updated 08/18/2009
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MARK T MARK
Position PRESIDENT
Phone (573) 996-3784
Fax (573) 996-5275
Practice Location
513B GRAND AVE
DONIPHAN MO, 63935-1405, US
Phone (573) 996-3784
Fax (573) 996-5275
Business Location
2210 BARRON RD
POPLAR BLUFF MO, 63901-1908, US
Phone (573) 686-4556
Fax (573) 686-4529
Toxanomy
Taxonomy Code 332B00000X
License State Missouri
License Number 623809308
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According to our database, Osage Pharmacy, Llc NPI is 1285774828, taxonomy code is 332B00000X and license number is 623809308, license state is located at Missouri. Osage Pharmacy, Llc physically located at 513b Grand Ave, Doniphan MO, 63935-1405. NPI Number 1033115704 has the healthcare provider type.

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1285774828 NPI number is provided on an as is basis without warranty of any kind. 1285774828 is maintained by the National Plan & Provider Enumeration System. The contents of Osage Pharmacy, Llc are for informational purposes only.