Organization
MED-SHOPPE PHARMACY INC
Active
Other names
MED-SHOPPE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN MARK ANDERSON (OWNER)
(812) 329-6466
Entity
Organization
Contact information
Practice address
2900 16TH ST, BEDFORD, IN 47421-3510
(812) 275-1340
(812) 275-1450
Mailing address
PO BOX 966, BEDFORD, IN 47421-0966
(812) 275-5949
(812) 277-3632
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
60005776
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200463100A
—
IN
01
—
2024681
PK
—
Enumeration date
06/18/2005
Last updated
10/08/2021
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