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Organization

MEDICINE SHOPPE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DIANE WASINGER RPH (OWNER PHARMACIST)
(660) 707-0080
Entity
Organization

Contact information

Practice address
600 PARK LN, PARK CENTER SHOPPING CENTER, CHILLICOTHE, MO 64601-1566
(660) 707-0080
(660) 707-0877
Mailing address
600 PARK LN, PARK CENTER SHOPPING CENTER, CHILLICOTHE, MO 64601-1566

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2003006242
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2634891
NCPDP
MO
Enumeration date
08/31/2006
Last updated
03/07/2023
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