Medicine Shoppe

LBN: Medicine Man Inc
Medicine Shoppe is an health care organization with primary practice located at 400 Huntingdon Pike Suite A, Rockledge PA 19046-4431. 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. Medicine Man Inc can be contacted via phone (215) 663-1755, or through Reiver, Robert via phone (215) 663-1755.

Contact Information

Primary practice address
400 Huntingdon Pike Suite A Rockledge PA 19046-4431
Phone: (215) 663-1755
Fax: (215) 663-1737
Website:
Map and Directions
Authorized official contact:
Name: Reiver, Robert RPH
Phone: (215) 663-1755

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PP413738L Pennsylvania

Profile Details

NPI number 1790857597
LBN Legal business name Medicine Man Inc
DBA Doing business as Medicine Shoppe
Authorized official Reiver, Robert RPH
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2006
Last updated Feb 3rd, 2012 - about 14 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 1790857597 NPPES
Pennsylvania MEDICAID 0011917580000
Pennsylvania Other 3959484

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