SI03, INC.

SCOTT CITY, MO
NPI1144505447
Entity TypeOrganization
Authorized ContactJEFF FANGER
General Manager
573-388-2301
Organization Subpart ?No
Primary Taxonomy335G00000X Medical Foods Supplier
Enumeration Date2011-10-18
Last Update Date2011-10-18
Business Address
SI03, INC.
4711 NASH ROAD
SCOTT CITY, MO 63780
Phone number: 573-388-2301
Mailing Address
SI03, INC.
PO BOX 1715
CAPE GIRARDEAU, MO 63702
Phone number: 573-388-2301