Organization
MACHAJ RX INC
Active
Other names
MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE MACHAJ RPH (OWNER)
(314) 865-1528
Entity
Organization
Contact information
Practice address
3137 S GRAND BLVD, SAINT LOUIS, MO 63118-1020
(314) 865-1528
(314) 865-5219
Mailing address
3137 S GRAND BLVD, SAINT LOUIS, MO 63118-1020
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2000153376
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2611538
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
11/15/2006
Last updated
02/28/2008
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