Apothecary Shoppe Of West Salem INC
Pharmacy, Community/Retail Pharmacy in West Salem, IL. Organization (NPI-2).
NPI number1093809402
StatusActive
Last updated in NPPESJun 10, 2015
Details
- NPI
- 1093809402
- Entity type
- Organization (NPI-2)
- Legal business name
- Apothecary Shoppe Of West Salem INC
- Organization subpart
- No
- Enumeration date
- Oct 3, 2006
- Last updated
- Jun 10, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 054008438 | IL | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 333600000X | Pharmacy | – | – |
Other names
- The Apothecary Shoppe W Salem (Doing Business As)
Practice location
108 S Main StWest Salem, IL 62476-1202
Phone 618-456-3716 · Fax 618-456-2029
Mailing address
Po Box 68West Salem, IL 62476-0068
Phone 618-456-3716 · Fax 618-456-2029
Authorized official
Kimberley Griffith
Pres
6184563716
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