NPI | 1376736009 |
---|---|
Doing Business As | MEDICINE SHOPPE |
Entity Type | Organization |
Authorized Contact | DENA FERMAN Third Party Plan Coordinator 314-993-6000 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WA CF00059298) |
Enumeration Date | 2007-08-27 |
Last Update Date | 2023-03-07 |