| NPI | 1972605889 |
|---|---|
| Doing Business As | MEDICINE SHOPPE |
| Entity Type | Organization |
| Authorized Contact | DENA FERMAN Third Party Plan Coordinator 314-993-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 21553) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2020-08-22 |