# CHR-ASH INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medicine Shoppe
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811081227
- **Authorized official:** STEPHEN BURDGE RPH (OWNER PHARMACIST)
- **Authorized official phone:** (618) 451-4200

## Contact information

- **Practice address:** 1529 JOHNSON RD, GRANITE CITY, IL 62040-3831
- **Practice address phone:** (618) 451-4200
- **Practice address fax:** (618) 451-4252
- **Mailing address:** 1529 JOHNSON RD, GRANITE CITY, IL 62040-3831

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 054008703 | IL | Yes |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1451563 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |