| NPI | 1881643716 |
|---|---|
| Doing Business As | THE MEDICINE SHOPPE |
| Entity Type | Organization |
| Authorized Contact | LARRY MICHAEL AMBROSON Co Owner 641-792-3111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IA 647) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2020-08-22 |