Organization
HEALTHCARE PHARMACY INC
Active
Other names
THE MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN VANCE (PIC)
(636) 938-4600
Entity
Organization
Contact information
Practice address
215 THRESHER DR, EUREKA, MO 63025-1923
(636) 938-4600
(636) 938-6574
Mailing address
PO BOX 145, EUREKA, MO 63025-0145
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
005861
MO
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2050490
PK
—
05
—
602030801
—
MO
Enumeration date
08/05/2006
Last updated
07/22/2014
About Stedi
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