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1013431675
OLD TOWN APOTHECARY, LLC
JEFFERSON CITY, MO
NPI
1013431675
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Entity Type
Organization
Authorized Contact
CAMEON SCHULTE
Member
573-634-8300
Organization Subpart ?
No
Primary Taxonomy
333600000X Pharmacy
Enumeration Date
2017-07-26
Last Update Date
2017-07-26
Business Address
OLD TOWN APOTHECARY, LLC
1739 ELM CT STE 108
JEFFERSON CITY, MO 65101-4303
Phone number: 573-634-8300
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Mailing Address
OLD TOWN APOTHECARY, LLC
1739 ELM CT STE 108
JEFFERSON CITY, MO 65101-4303
Phone number:
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