Organization
ALAN C HONERKAMP INC
Active
Other names
MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN HONERKAMP RPH (OWNER PHARMACIST)
(636) 949-5593
Entity
Organization
Contact information
Practice address
488 S 5TH ST, SAINT CHARLES, MO 63301-2633
(636) 949-5593
(636) 949-3118
Mailing address
488 S 5TH ST, SAINT CHARLES, MO 63301-2633
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
004195
MO
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2620537
NCPDP #
MO
01
—
2620537
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
621947001
—
MO
Enumeration date
08/31/2006
Last updated
03/07/2023
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