Organization
ROSTIE ENTERPRISES, LLC
Active
Other names
Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY LYNN ROSTIE R.PH. (MEMBER/MANAGER)
(816) 331-6040
Entity
Organization
Contact information
Practice address
547 N SCOTT AVE, BELTON, MO 64012-1762
(816) 331-6040
(816) 331-7248
Mailing address
547 N SCOTT AVE, BELTON, MO 64012-1762
(816) 331-6040
(816) 331-7248
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
2001019642
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2626882
NCPDP #
—
Enumeration date
10/21/2005
Last updated
08/22/2020
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