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Organization

JIMS SCRIPT SHOP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES FREDERICH RPH (OWNER)
(417) 546-5777
Entity
Organization

Contact information

Practice address
15580 ST HWY 60, FORSYTH, MO 65653
(417) 546-5777
(417) 546-6142
Mailing address
PO BOX 934, FORSYTH, MO 65653-0934

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
4401
MO
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2621642
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
08/18/2006
Last updated
09/11/2025
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