The Medicine Shoppe Pharmacy

LBN: Holistic Pharmacy Services Inc
The Medicine Shoppe Pharmacy is an health care organization with primary practice located at 133 E North Grand Ave , Springfield IL 62702-3859. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Holistic Pharmacy Services Inc can be contacted via phone (217) 679-9244, or through Cole, Beaux via phone (217) 679-9244.

Contact Information

Primary practice address
133 E North Grand Ave Springfield IL 62702-3859
Phone: (217) 679-9244
Fax: (217) 525-0034
Website:
Map and Directions
Authorized official contact:
Name: Cole, Beaux PHARMD
Phone: (217) 679-9244

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 054017739 Illinois
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1235426057
LBN Legal business name Holistic Pharmacy Services Inc
DBA Doing business as The Medicine Shoppe Pharmacy
Authorized official Cole, Beaux PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2011
Last updated Jul 10th, 2019 - about 7 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 1235426057 NPPES
Other 2132238 PK

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