Organization
OLD TOWN APOTHECARY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMEON SCHULTE PHARM.D. (MEMBER)
(573) 634-8300
Entity
Organization
Contact information
Practice address
1739 ELM CT STE 108, JEFFERSON CITY, MO 65101-4303
(573) 634-8300
Mailing address
1739 ELM CT STE 108, JEFFERSON CITY, MO 65101-4303
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
07/26/2017
Last updated
07/26/2017
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