Medic Shop Pharmacy

LBN: Medic Shop Pharmacy
Medic Shop Pharmacy is an health care organization with primary practice located at 1000 Business 190 , Covington LA 70433-3285. 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. Medic Shop Pharmacy can be contacted via phone (985) 875-7515, or through Millen, Susann via phone (985) 875-7515.

Contact Information

Primary practice address
1000 Business 190 Covington LA 70433-3285
Phone: (985) 875-7515
Fax: (985) 875-7544
Website:
Map and Directions
Authorized official contact:
Name: Millen, Susann
Phone: (985) 875-7515

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY.006069-IR Louisiana

Profile Details

NPI number 1932345048
LBN Legal business name Medic Shop Pharmacy
DBA Doing business as Medic Shop Pharmacy
Authorized official Millen, Susann
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2008
Last updated Mar 24th, 2017 - about 9 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 1932345048 NPPES
Other 2118384 PK

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