Ridge Maud Drug Corporation is a Long Term Care Pharmacy based in Poplar Bluff, MO and is specialized in Long Term Care Pharmacy. Ridge Maud Drug Corporation practices in Poplar Bluff, MO. The NPI Number for Ridge Maud Drug Corporation is 1275612947 and holds a License No. (Missouri).
The current practice location address for Ridge Maud Drug Corporation is 910 N Westwood Blvd, Poplar Bluff, MO and can be reached out via phone at 573-785-8218 and via fax at 573-785-8125.
Location: 910 N Westwood Blvd, Poplar Bluff, MO, 63901-4242
Provider Profile Details
NPI Number
1275612947
Provider Name
Ridge Maud Drug Corporation
Credential
Provider Entity Type
Organization
Address
910 N Westwood Blvd, Poplar Bluff, MO, 63901-4242
Phone Number
573-785-8218
Fax Number
573-785-8125
Provider Enumeration Date
11/03/2006
Last Update Date
08/17/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2609519 | 01 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 600125603 | 05 | MO |
Provider Business Practice Location Address Details
Address
910 N Westwood Blvd
City
State
Zip
63901-4242
Phone Number
573-785-8218
Fax Number
573-785-8125
Provider Business Mailing Address Details
Address
910 N Westwood Blvd
City
State
Zip
63901-4242
Phone Number
573-785-8218
Fax Number
573-785-8125
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Taxonomy
License No.
002239 (Missouri)
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
License No.
()
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's use in the home and that are usable for an extended period of time.
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
License No.
002239 (Missouri)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
License No.
()
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Provider's Taxonomy Details 5
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
License No.
()
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
Provider's Taxonomy Details 6
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
License No.
()
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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