Organization
J A SANDER INC
Active
Other names
MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN GUINN (MEDICAID MEDICARE BILLING SPEC)
(314) 993-6000
Entity
Organization
Contact information
Practice address
2116 MAPLE AVE, ZANESVILLE, OH 43701-2025
(740) 455-2020
(740) 455-3878
Mailing address
1100 N LINDBERGH BLVD, SAINT LOUIS, MO 63132-2914
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
OH
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3654161
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/20/2006
Last updated
09/11/2025
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