NPI | 1003210402 |
---|---|
Doing Business As | MEDICINE SHOPPE PHARMACY |
Entity Type | Organization |
Authorized Contact | BEAUX COLE Pharmacist 217-525-0058 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: IL 054.017739) |
Enumeration Date | 2014-10-14 |
Last Update Date | 2014-10-14 |