Contract Details
Ancillary Care Services
Facility name
Danhauer Drug Company
Provider ID
P000003896
NPI
1144213406
Tax ID
610992161
Effective Date
4/1/2012
Last Updated
10/10/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
330 Frederica Street
Owensboro, KY 42301
United States
County
Daviess
Phone
2706842341 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address