| NPI | 1710977442 |
|---|---|
| Doing Business As | THE MEDICINE SHOPPE |
| Entity Type | Organization |
| Authorized Contact | LARRY RUSSELL Owner 270-769-3717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: KY P01397) |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2023-03-07 |