| NPI | 1386759306 |
|---|---|
| Doing Business As | MEDICINE SHOPPE |
| Entity Type | Organization |
| Authorized Contact | SUSAN GUINN Medicaid Medicare Billing Spec 314-993-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: AL 110709) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2023-03-07 |