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Organization

RINDERER'S DRUG STORE #2

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MATTHEW J CARLISLE R.PH. (PRESIDENT)
(636) 928-3957
Entity
Organization

Contact information

Practice address
12141 BELLEFONTAINE RD, SAINT LOUIS, MO 63138-1906
(314) 741-8700
Mailing address
12141 BELLEFONTAINE RD, SAINT LOUIS, MO 63138-1906
(314) 741-8700

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PS0023530
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2602755
NCPDP
Enumeration date
04/26/2006
Last updated
08/22/2020
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