Ridge Maud Drug Corporation
NPI #1275612947 in Poplar Bluff, Missouri
Provider Information
- NPI Number
- 1275612947
- Entity Type
- Organization
- Organization Name
- Ridge Maud Drug Corporation
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Nov 3, 2006
- Last Updated
- Jul 24, 2024
Practice Location
- Address
- 910 N WESTWOOD BLVD
- City
- Poplar Bluff
- State
- Missouri
- ZIP Code
- 63901-4242
- Phone
- (573) 785-8218
Authorized Official
- Name
- MARTIN MICHEL, RPH MBA CDE
- Title
- OWNER
- Phone
- (573) 785-8218
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist — Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Durable Medical Equipment & Medical Supplies |
| Pharmacy |
| Pharmacy - Compounding Pharmacy — Compounding Pharmacy |
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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