Medicine Shoppe Pharmacy

LBN: Edlucy Inc
Medicine Shoppe Pharmacy is an health care organization with primary practice located at 1116 W Main St , Fairfield IL 62837-2324. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Edlucy Inc can be contacted via phone (618) 842-6007, or through Potts, Edwin via phone (618) 842-6007.

Contact Information

Primary practice address
1116 W Main St Fairfield IL 62837-2324
Phone: (618) 842-6007
Fax: (618) 842-4816
Website:
Map and Directions
Authorized official contact:
Name: Potts, Edwin
Phone: (618) 842-6007

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 051033418 Illinois

Profile Details

NPI number 1720172133
LBN Legal business name Edlucy Inc
DBA Doing business as Medicine Shoppe Pharmacy
Authorized official Potts, Edwin
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2006
Last updated Mar 7th, 2023 - about 2 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 1720172133 NPPES
Illinois Other 320008999 CONTROL SUBSTANCE #
Illinois Other 1453531 CONTROL SUBSTANCE #

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