NPI | 1003951633 |
---|---|
Doing Business As | MEDICINE SHOPPE |
Entity Type | Organization |
Authorized Contact | DENA FERMAN Third Party Plan COO Rdinator 314-993-6000 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 18211) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2007-02-21 |
Last Update Date | 2007-09-25 |