Organization
RINDERER'S UNION DRUG #6
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW JAY CARLISLE R.PH. (PRESIDENT)
(636) 583-2110
Entity
Organization
Contact information
Practice address
500 HIGHWAY 50 W, UNION, MO 63084-1938
(636) 583-2110
(636) 583-2110
Mailing address
500 HIGHWAY 50 W, UNION, MO 63084-1938
(636) 583-2110
(636) 583-2110
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PS004336
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2621236
NCPDP
—
Enumeration date
04/26/2006
Last updated
08/22/2020
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