Organization · NPI-2

Jsb Group LLC

Pharmacy, Community/Retail Pharmacy · Florissant, MO

NPI number1982719910
StatusActive
Last updated in NPPESOct 16, 2008

Details

NPI
1982719910
Entity type
Organization (NPI-2)
Legal business name
Jsb Group LLC
Organization subpart
No
Enumeration date
Aug 20, 2006
Last updated
Oct 16, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy19406169MOYes
333600000X Pharmacy––

Other names

  • Medicine Shoppe (Doing Business As)

Practice location

2386 N Highway 67
Florissant, MO 63033-2034

Phone 314-921-7700 · Fax 314-921-3520

Mailing address

12130 Ladue Rd
Saint Louis, MO 63141-8121

Authorized official

Susan Guinn
Medicaid Medicare Billing Spec
3149936000

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