Provider Demographics
NPI:1558455212
Name:PHARMACY OPERATIONS, INC
Entity Type:Organization
Organization Name:PHARMACY OPERATIONS, INC
Other - Org Name:MEDICINE SHOPPE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP PHARMACY OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:A
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-993-6000
Mailing Address - Street 1:1 RIDER TRAIL PLAZA DRIVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:EARTH CITY
Mailing Address - State:MO
Mailing Address - Zip Code:63045-1313
Mailing Address - Country:US
Mailing Address - Phone:314-993-6000
Mailing Address - Fax:
Practice Address - Street 1:306 BEALL AVE
Practice Address - Street 2:
Practice Address - City:WOOSTER
Practice Address - State:OH
Practice Address - Zip Code:44691-3520
Practice Address - Country:US
Practice Address - Phone:330-264-6601
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3656343OtherNCPDP #
OH2320705Medicaid
OHBP7789588OtherDEA #
OH2320705Medicaid