| NPI | 1922170711 |
|---|---|
| Doing Business As | MEDICINE SHOPPE 1376 |
| Entity Type | Organization |
| Authorized Contact | CHARLES ANTHONY ARGANA Pharmacist In Charge 636-586-5533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 004653) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: MO 004653) |
| 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MO 004653) | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2023-03-07 |