Medicine Shoppe

LBN: Mascot Pharmacy Inc
Medicine Shoppe is an health care organization with primary practice located at 110 Main St , Park Ridge IL 60068-4030. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Mascot Pharmacy Inc can be contacted via phone (847) 698-3323, or through Costa, Maria L via phone (847) 698-3323.

Contact Information

Primary practice address
110 Main St Park Ridge IL 60068-4030
Phone: (847) 698-3323
Fax: (847) 698-4112
Website:
Map and Directions
Authorized official contact:
Name: Costa, Maria L RPH
Phone: (847) 698-3323

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X 054014403 Illinois

Profile Details

NPI number 1144385576
LBN Legal business name Mascot Pharmacy Inc
DBA Doing business as Medicine Shoppe
Authorized official Costa, Maria L RPH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 26th, 2006
Last updated Mar 7th, 2023 - about 3 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 1144385576 NPPES
Other 1425950 OTHER ID NUMBER-COMMERCIAL NUMBER

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