| NPI | 1912082538 |
|---|---|
| Doing Business As | THE MEDICINE SHOPPE #1111 |
| Entity Type | Organization |
| Authorized Contact | LARRY WEBBER Owner 573-581-7561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: MO 15496147) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2010-08-24 |