Medicine Shoppe
LBN: Carey Prosperie Pharmacy Inc
Medicine Shoppe is an health care organization with primary practice located at 2119 E 5Th St , Tyler TX 75701-3515. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty.
Carey Prosperie Pharmacy Inc can be contacted via phone (903) 597-3383, or through Ferman, Dena via phone (314) 993-6000.
Contact Information
Primary practice address
2119 E 5Th St
Tyler TX 75701-3515
Phone: (903) 597-3383
Fax: (903) 597-2129
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 13550 | Texas |
Profile Details
| NPI number | 1730224361 |
|---|---|
| LBN Legal business name | Carey Prosperie Pharmacy Inc |
| DBA Doing business as | Medicine Shoppe |
| Authorized official | Ferman, Dena |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Jun 27th, 2008 - about 18 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730224361 | NPPES |
| Texas | MEDICAID | 4580367 | |
| Texas | Other | 4580367 |
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