Organization
PFJ CORPORATION INC
Active
Other names
MEDICINE SHOPPE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY POWERS (SEC AND TRES)
(636) 456-5570
Entity
Organization
Contact information
Practice address
616 N STATE HIGHWAY 47 STE C, WARRENTON, MO 63383-1100
(636) 456-5570
(636) 456-5980
Mailing address
616 N STATE HIGHWAY 47 STE C, WARRENTON, MO 63383-1100
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
006167
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2631251
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
01/04/2007
Last updated
03/11/2009
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