| NPI | 1174631667 |
|---|---|
| Doing Business As | THE MEDICINE SHOPPE |
| Entity Type | Organization |
| Authorized Contact | TOM ELDON SIEGENTHALER President 817-274-0050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 15737) |
| Enumeration Date | 2006-08-26 |
| Last Update Date | 2014-07-25 |