Organization
MEDICINE STOP INC
Active
Organization
MEDICINE STOP INC
Active
Other names
THE MEDICINE STOP
Organization subpart
No
Provider details
NPI number
Authorized official
JAELIN PROFFIT RPH (DIRECTOR OF OPERATIONS)
(830) 896-7440
Entity
Organization
Contact information
Practice address
1000 MAIN ST, KERRVILLE, TX 78028-3507
(830) 896-7440
(830) 896-2221
Mailing address
1000 MAIN ST, KERRVILLE, TX 78028-3565
(830) 896-7440
(830) 896-2221
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
15881
TX
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148111
—
TX
01
—
2100398
PK
—
Enumeration date
07/22/2006
Last updated
08/21/2024
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