Organization
METROLPOLIS DRUGS II INC
Active
Other names
METROLPOLIS DRUGS II
Organization subpart
No
Provider details
NPI number
Authorized official
TIM LAWSON RPH (OWNER/ MEDICARE COORDINATOR)
(618) 524-8400
Entity
Organization
Contact information
Practice address
1201 W 10TH ST, METROPOLIS, IL 62960-2433
(618) 524-8400
(618) 524-9961
Mailing address
1201 W 10TH ST, METROPOLIS, IL 62960-2433
(618) 524-8400
(618) 524-9961
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054.013117
IL
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2022209
PK
—
Enumeration date
02/12/2007
Last updated
12/05/2016
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