Organization
VALLEY PARK DRUG INC
Active
Other names
MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE HITSCHLER RPH (OWNER PHARMACIST)
(636) 225-5123
Entity
Organization
Contact information
Practice address
16 STONEGATE CTR, VALLEY PARK, MO 63088
(636) 225-5123
(636) 225-2953
Mailing address
16 STONEGATE CTR, VALLEY PARK, MO 63088-1215
(636) 225-5123
(636) 225-2953
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
002850
MO
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
002850
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2601804
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
600094403
—
MO
05
—
620094409
—
MO
Enumeration date
12/01/2006
Last updated
03/07/2023
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