The Medicine Shoppe #1263

LBN: Djcc, Inc.
The Medicine Shoppe #1263 is an health care organization with primary practice located at 200 E Ayer St Suite 2, Ironwood MI 49938-2070. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Djcc, Inc. can be contacted via phone (906) 932-4500, or through Vanderschaegen, Dylynn M via phone (906) 932-4500.

Contact Information

Primary practice address
200 E Ayer St Suite 2 Ironwood MI 49938-2070
Phone: (906) 932-4500
Fax: (906) 932-6329
Website:
Map and Directions
Authorized official contact:
Name: Vanderschaegen, Dylynn M RPH
Phone: (906) 932-4500

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 5301006875 Michigan

Profile Details

NPI number 1669582839
LBN Legal business name Djcc, Inc.
DBA Doing business as The Medicine Shoppe #1263
Authorized official Vanderschaegen, Dylynn M RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1669582839 NPPES
Wisconsin MEDICAID 33285400
Wisconsin MEDICAID 3518033
Wisconsin MEDICAID 3518024

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