| NPI | 1285728691 |
|---|---|
| Doing Business As | MEDICINE SHOPPE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL MORTON Owner 618-548-0070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: IL 054014788) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition | |
| 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2023-03-07 |