Organization
THE WHITEVILLE DRUGSTORE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE ROSE MCCORMAC (PRESIDENT)
(844) 896-7466
Entity
Organization
Contact information
Practice address
13035 OLIVE BLVD STE 210, SAINT LOUIS, MO 63141-6179
(844) 870-1080
Mailing address
13035 OLIVE BLVD STE 210, SAINT LOUIS, MO 63141-6179
(844) 870-1080
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/27/2019
Last updated
12/22/2020
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