NPI | 1821149766 |
---|---|
Doing Business As | MEDICINE SHOPPE |
Entity Type | Organization |
Authorized Contact | VICKI L THALMANN Owner 618-692-4441 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 333600000X Pharmacy (Licence: IL 054014733) |
Enumeration Date | 2007-01-16 |
Last Update Date | 2023-03-07 |