| NPI | 1114354537 |
|---|---|
| Doing Business As | MEDICINE SHOPPE 659 |
| Entity Type | Organization |
| Authorized Contact | CARL EMERLING President 217-824-2288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054.018445) |
| Additional Taxonomies | 332100000X Department of Veterans Affairs (VA) Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2014-05-02 |