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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