# HOWELL PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medicine Shoppe Pharmacy 2119
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942728506
- **Authorized official:** JACQUELINE DAWN HOWELL RPH (OWNER/PIC)
- **Authorized official phone:** (618) 206-8655

## Contact information

- **Practice address:** 122 W STATE ST, O FALLON, IL 62269-1161
- **Practice address phone:** (618) 206-8655
- **Practice address fax:** (618) 589-3007
- **Mailing address:** 122 W STATE ST, O FALLON, IL 62269-1161
- **Mailing address phone:** (618) 206-8655
- **Mailing address fax:** (618) 589-3007

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 054020451 | IL | Yes |

## Other

- **Enumeration date:** 09/05/2017
- **Last updated:** 07/21/2022