Organization
RINDERER'S DRUG STORE #8
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW JAY CARLISLE R.PH. (PRESIDENT)
(636) 928-3957
Entity
Organization
Contact information
Practice address
44 N FLORISSANT RD, FERGUSON, MO 63135-2332
(314) 521-2721
(314) 521-2721
Mailing address
44 N FLORISSANT RD, FERGUSON, MO 63135-2332
(314) 521-2721
(314) 521-2721
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PS004734
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2623949
NCPDP
—
Enumeration date
04/26/2006
Last updated
08/22/2020
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