| NPI | 1225049729 |
|---|---|
| Doing Business As | MEDICINE SHOPPE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL MORTON Licensee 618-533-5411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054015743) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2023-03-07 |