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
Update your record
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