NPI | 1558407163 |
---|---|
Doing Business As | MEDICINE SHOPPE |
Entity Type | Organization |
Authorized Contact | DENA FERMAN Third Party Plan COO Rdinator 314-993-6000 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: NJ RS002615) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2007-01-30 |
Last Update Date | 2020-08-22 |