Organization
THE FOUR L'S INC
Active
Other names
Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKI L THALMANN RN (OWNER)
(618) 692-4441
Entity
Organization
Contact information
Practice address
447 S BUCHANAN ST, EDWARDSVILLE, IL 62025-2064
(618) 692-4441
(618) 692-4415
Mailing address
447 S BUCHANAN ST, EDWARDSVILLE, IL 62025-2064
(618) 692-4441
(618) 692-4415
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
IL
3336C0003X
Community/Retail Pharmacy
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467201
NCPDP #
IL
Enumeration date
01/16/2007
Last updated
03/07/2023
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