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Organization
MEDICINE STORE
Active
Organization
MEDICINE STORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY GUY KING R.PH. (PHARMACIST/OWNER)
(937) 393-1996
Entity
Organization
Contact information
Practice address
231 N HIGH ST, HILLSBORO, OH 45133-1128
(937) 393-1996
Mailing address
231 N HIGH ST, HILLSBORO, OH 45133-1128
(937) 393-1996
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0555957
—
OH
01
—
3642382
NCPDP
—
Enumeration date
06/02/2005
Last updated
08/22/2020
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