Organization
ALEMAN ENTERPRISES
Active
Other names
MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
SAM ALEMAN RPH (OWNER PHARMACIST)
(618) 632-8309
Entity
Organization
Contact information
Practice address
122 W STATE ST, O FALLON, IL 62269-1161
(618) 632-8309
(618) 632-5390
Mailing address
122 W STATE ST, O FALLON, IL 62269-1161
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
IL
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1440394
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
12/26/2006
Last updated
03/07/2023
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