Organization
MT VERNON COMMUNITY PHARMACY INC
Active
Parent organization
MT VERNON COMMUNITY PHARMACY INC
Other names
The Medicine Shoppe
Organization subpart
Yes
Provider details
NPI number
Legal business name
MT VERNON COMMUNITY PHARMACY INC
Authorized official
TRACEY ADAMS (GENERAL MANAGER)
(618) 242-8776
Entity
Organization
Contact information
Practice address
2339 BROADWAY ST, MOUNT VERNON, IL 62864-2925
(618) 242-8776
(618) 244-9475
Mailing address
2339 BROADWAY ST, MOUNT VERNON, IL 62864-2925
(618) 242-8776
(618) 244-9475
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
08/16/2019
Last updated
08/16/2019
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