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Organization
TOWN & COUNTRY PHARMACIES, INC.
Active
Organization
TOWN & COUNTRY PHARMACIES, INC.
Active
Other names
Medicenter Pharmacy Du Quoin
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN SOMMER (OWNER/CFO)
(314) 965-4700
Entity
Organization
Contact information
Practice address
204 S WASHINGTON ST, DU QUOIN, IL 62832-1805
(618) 542-2575
(618) 542-3688
Mailing address
132 W MONROE AVE, KIRKWOOD, MO 63122-5816
(314) 965-4700
(314) 965-4706
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054014985
STATE PHARMACY LICENSE
IL
Enumeration date
03/15/2019
Last updated
03/15/2019
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