Organization
HECKLER DRUG INC
Active
Other names
MEDICINE SHOPPE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MARY LOU MONTENERY RPH (PIC)
(740) 393-3784
Entity
Organization
Contact information
Practice address
812 COSHOCTON AVE, 1, MOUNT VERNON, OH 43050-1947
(740) 393-3784
(740) 393-3783
Mailing address
812 COSHOCTON RD, PO BOX 930, MOUNT VERNON, OH 43050-0930
(740) 393-3784
(740) 393-3783
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
OH
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0852902
—
OH
01
—
3655961
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
02/06/2007
Last updated
11/14/2007
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