Organization · Type 2 NPI
Si03, Inc.
Medical Foods Supplier · Scott City, MO
NPI number
1144505447
Active
Practice location
4711 Nash Road
Scott City, MO 63780
Fax (573) 388-2308
Mailing address
PO Box 1715
Cape Girardeau, MO 63702
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Foods Supplier Primary | 335G00000X | None listed |
Medical Foods Supplier: A supplier of special replacement foods for clients with errors of metabolism that prohibit them from eating a regular diet. Medical foods are lacking in the compounds which cause complications of the metabolic disorder, and are not generally available in grocery stores, health food stores, or pharmacies.
About NPI 1144505447
Si03, Inc.'s National Provider Identifier is 1144505447, issued on Oct 18, 2011. The primary taxonomy on file is Medical Foods Supplier (335G00000X), and the practice location is in Scott City, MO. The record was last updated on Oct 18, 2011.