Organization
APOTHECARY SHOPPE OF WEST SALEM INC
Active
Other names
THE APOTHECARY SHOPPE W SALEM
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLEY GRIFFITH RPH (PRES)
(618) 456-3716
Entity
Organization
Contact information
Practice address
108 S MAIN ST, WEST SALEM, IL 62476-1202
(618) 456-3716
(618) 456-2029
Mailing address
PO BOX 68, WEST SALEM, IL 62476-0068
(618) 456-3716
(618) 456-2029
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054008438
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2018508
PK
—
Enumeration date
10/03/2006
Last updated
06/10/2015
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