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Organization

PACIFIC RX INC

Active
Other names
Medicine Shoppe
Organization subpart
No

Provider details

NPI number
Authorized official
JERRY CALLAHAN (VP)
(314) 609-2605
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
02/14/2018
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