Organization
GENERAL STORE NO TWO INC
Active
Other names
MARSHS SUN FRESH PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JIM MARSH (OWNER)
(816) 931-1639
Entity
Organization
Contact information
Practice address
4001 MILL ST, KANSAS CITY, MO 64111-3008
(816) 931-1505
(816) 931-0020
Mailing address
4001 MILL ST, KANSAS CITY, MO 64111-3008
(816) 931-1505
(816) 931-4236
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
006016
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2047521
PK
—
05
—
608476602
—
MO
Enumeration date
11/09/2006
Last updated
01/29/2014
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