Organization
VASQUEZ PHARMACY INC
Active
Other names
The Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA VASQUEZ (PRESIDENT)
(618) 612-5052
Entity
Organization
Contact information
Practice address
134 S MAIN ST, COLUMBIA, IL 62236-2306
(618) 281-5135
Mailing address
134 S MAIN ST, COLUMBIA, IL 62236-2306
(618) 281-5135
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
07/25/2019
Last updated
02/21/2020
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