Organization
PACIFIC RX INC
Active
Other names
Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
KRISHNA CHALUVADI (DIRECTOR)
(636) 257-9777
Entity
Organization
Contact information
Practice address
2290 W OSAGE ST, PACIFIC, MO 63069-1131
(636) 257-9777
(636) 257-9774
Mailing address
2290 W OSAGE ST, PACIFIC, MO 63069-1131
(636) 257-9777
(636) 257-9774
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2018004232
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2175917
PK
—
Enumeration date
02/14/2018
Last updated
08/17/2026
Update your record
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