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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