| NPI | 1467546879 |
|---|---|
| Doing Business As | MEDICINE SHOPPE |
| Entity Type | Organization |
| Authorized Contact | DAVID MIKUS Owner Pharmacist 217-525-0058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: IL 054009408) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2023-03-07 |