Organization
FORUM RX INC
Active
Other names
Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX VAYMAN RPH (VICE PRESIDENT)
(314) 469-7171
Entity
Organization
Contact information
Practice address
106B FOUR SEASONS SHOPPING CENTER, CHESTERFIELD, MO 63017-3157
(314) 469-7171
Mailing address
106B FOUR SEASONS SHOPPING CENTER, CHESTERFIELD, MO 63017-3157
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
606466407
—
MO
Enumeration date
02/03/2010
Last updated
06/18/2019
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