| NPI | 1437648342 |
|---|---|
| Doing Business As | LONG TERM CARE ONLY THE MEDICINE SHOPPE #62 |
| Doing Business As | LONG TERM CARE THE MEDICINE SHOPPE |
| Doing Business As | LONG TERM CARE THE MEDICINE SHOPPE #62 |
| Entity Type | Organization |
| Authorized Contact | JILL WOODWARD Owner/PIC 618-259-0085 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: IL 054015916) |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2020-06-08 |