Organization
ECONOMY PHARMACY, INC.
Active
Other names
The Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VIVIAN BUDDE (OWNER)
(618) 281-5135
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
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054.013678
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467845
NCPDP #
IL
01
—
P0041739
MEDICARE RAILROAD #
IL
Enumeration date
08/07/2006
Last updated
03/07/2023
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