NPI | 1396759445 |
---|---|
Doing Business As | THE MEDICINE SHOPPE |
Entity Type | Organization |
Authorized Contact | JILL WOODWARD Owner/President 618-259-0085 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: IL 05415916) |
Additional Taxonomies | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: IL 054015916) |
Enumeration Date | 2006-07-27 |
Last Update Date | 2023-03-07 |