| NPI | 1376197699 |
|---|---|
| Doing Business As | THE MEDICINE SHOPPE |
| Entity Type | Organization |
| Authorized Contact | AMANDA VASQUEZ President 618-612-5052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2020-02-21 |