# MEDICINE STORE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093717043
- **Authorized official:** MR. JEFFREY GUY KING R.PH. (PHARMACIST/OWNER)
- **Authorized official phone:** (937) 393-1996

## Contact information

- **Practice address:** 231 N HIGH ST, HILLSBORO, OH 45133-1128
- **Practice address phone:** (937) 393-1996
- **Mailing address:** 231 N HIGH ST, HILLSBORO, OH 45133-1128
- **Mailing address phone:** (937) 393-1996

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | OH | Yes |

## Other

- **Enumeration date:** 06/02/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0555957 | — | OH |
| 01 | — | 3642382 | NCPDP | — |