| NPI | 1942728506 |
|---|---|
| Doing Business As | MEDICINE SHOPPE PHARMACY 2119 |
| Entity Type | Organization |
| Authorized Contact | JACQUELINE DAWN HOWELL Owner/PIC 618-206-8655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054020451) |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2022-07-21 |