| NPI | 1417923012 |
|---|---|
| Doing Business As | THE MEDICINE SHOPPE |
| Entity Type | Organization |
| Authorized Contact | ERIC BLACK Owner 618-242-8776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054016737) |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2011-11-01 |