Organization
HERCULES PHARMACY INC
Active
Other names
The Medicine Shoppe Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN HERCULES (PHARMACIST IN CHARGE)
(314) 427-1818
Entity
Organization
Contact information
Practice address
2514 WOODSON RD, OVERLAND, MO 63114-5437
(314) 427-1818
(314) 423-9905
Mailing address
2514 WOODSON RD, OVERLAND, MO 63114-5437
(314) 427-1818
(314) 423-9905
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2009024559
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2122874
PK
—
05
—
600279202
—
MO
Enumeration date
01/30/2007
Last updated
02/20/2017
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