Organization
HOWELL PHARMACY LLC
Active
Other names
Medicine Shoppe Pharmacy 2119
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE DAWN HOWELL RPH (OWNER/PIC)
(618) 206-8655
Entity
Organization
Contact information
Practice address
122 W STATE ST, O FALLON, IL 62269-1161
(618) 206-8655
(618) 589-3007
Mailing address
122 W STATE ST, O FALLON, IL 62269-1161
(618) 206-8655
(618) 589-3007
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054020451
IL
Other
Enumeration date
09/05/2017
Last updated
07/21/2022
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