The Medicine Shoppe #1293

LBN: Dep,Inc.
The Medicine Shoppe #1293 is an health care organization with primary practice located at 2409 N Broadway St , Pittsburg KS 66762-2618. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Dep,Inc. can be contacted via phone (620) 231-3410, or through Pistole, Evelyn via phone (620) 231-3410.

Contact Information

Primary practice address
2409 N Broadway St Pittsburg KS 66762-2618
Fax: (620) 231-3810
Website:
Authorized official contact:
Name: Pistole, Evelyn

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 2-08392 Kansas

Profile Details

NPI number 1326116302
LBN Legal business name Dep,Inc.
DBA Doing business as The Medicine Shoppe #1293
Authorized official Pistole, Evelyn
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 30th, 2006
Last updated Aug 16th, 2010 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326116302 NPPES
Kansas Other 1704825 NCPDP
Kansas MEDICAID 100445440A NCPDP
Kansas MEDICAID 608257309 NCPDP

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