| 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 |