The Medicine Shoppe
LBN: Michael J Brislin
The Medicine Shoppe is an health care organization with primary practice located at 953 Prescott Ave , Scranton PA 18510-1411. 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.
Michael J Brislin can be contacted via phone (570) 346-2935, or through Brislin, Michael via phone (570) 346-2935.
Contact Information
Primary practice address
953 Prescott Ave
Scranton PA 18510-1411
Phone: (570) 346-2935
Fax: (570) 207-4767
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | PP413264L | Pennsylvania |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1609948496 |
|---|---|
| LBN Legal business name | Michael J Brislin |
| DBA Doing business as | The Medicine Shoppe |
| Authorized official | Brislin, Michael RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609948496 | NPPES |
| Pennsylvania | MEDICAID | 0008873920002 | |
| Pennsylvania | Other | 3945079 |
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