The Medicine Shoppe #1111

LBN: Justbren, Inc.
The Medicine Shoppe #1111 is an health care organization with primary practice located at 200 E Jackson St , Mexico MO 65265-2821. 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. Justbren, Inc. can be contacted via phone (573) 581-7561, or through Webber, Larry via phone (573) 581-7561.

Contact Information

Primary practice address
200 E Jackson St Mexico MO 65265-2821
Phone: (573) 581-7561
Fax: (573) 581-7562
Website:
Map and Directions
Authorized official contact:
Name: Webber, Larry RPH
Phone: (573) 581-7561

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 15496147 Missouri
Suppliers / Community/Retail Pharmacy 3336C0003X Missouri

Profile Details

NPI number 1912082538
LBN Legal business name Justbren, Inc.
DBA Doing business as The Medicine Shoppe #1111
Authorized official Webber, Larry RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2006
Last updated Aug 24th, 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 1912082538 NPPES
Missouri MEDICAID 600585806

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