MEDICARE: RED CROSS PHARMACY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861712630
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RED CROSS PHARMACY

Provider Business Mailing Address
First Line	:	52 E ARROW ST
Second Line	:	P.O. BOX 917
City	:	MARSHALL
State	:	MO
Zip	:	65340-2101
Country	:	US
Telephone Number	:	660-886-5535
Fax Number	:	660-886-6320

Provider Business Practice Location Address
First Line	:	2400 TROOST AVE
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64108-2666
Country	:	US
Telephone Number	:	888-635-4485
Fax Number	:	816-628-4649

Authorized Official
Title or Position	:	DIRECTOR OF PHARMACY
Name	:	JUSTIN MAY
Credential	:
Telephone Number	:	660-886-5535

Provider Enumeration Date	:	06/03/2010
Last Update Date	:	06/03/2010

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Directions to “RED CROSS PHARMACY ” Practice Location

Language	Start Address	Practice Location

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