The Medicine Stop

LBN: Medicine Shoppe Of Dekalb Inc
The Medicine Stop is an health care organization with primary practice located at 810 S 4Th St , Dekalb IL 60115-4410. 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 Shoppe Of Dekalb Inc can be contacted via phone (815) 758-8995, or through Tamblyn, Robert via phone (515) 758-8995.

Contact Information

Primary practice address
810 S 4Th St Dekalb IL 60115-4410
Phone: (815) 758-8995
Fax: (815) 748-3784
Website:
Map and Directions
Authorized official contact:
Name: Tamblyn, Robert RPH
Phone: (515) 758-8995

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 54010056 Illinois

Profile Details

NPI number 1952481277
LBN Legal business name Medicine Shoppe Of Dekalb Inc
DBA Doing business as The Medicine Stop
Authorized official Tamblyn, Robert RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2006
Last updated Mar 3rd, 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 1952481277 NPPES
Other 1449429 NCPDP PROVIDER IDENTIFICATION NUMBER

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