The Medicine Shoppe

LBN: Miracle Care Inc
The Medicine Shoppe is an health care organization with primary practice located at 19225 Ventura Blvd , Tarzana CA 91356-3122. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Miracle Care Inc can be contacted via phone (818) 996-2878, or through Karagezyan, Arthur via phone (818) 996-2878.

Contact Information

Primary practice address
19225 Ventura Blvd Tarzana CA 91356-3122
Fax: (818) 996-2877
Website:
Authorized official contact:
Name: Karagezyan, Arthur

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PHY51652 California
Suppliers / Community/Retail Pharmacy 3336C0003X PHY51652 California
Suppliers / Long Term Care Pharmacy 3336L0003X PHY51652 California

Profile Details

NPI number 1710992367
LBN Legal business name Miracle Care Inc
DBA Doing business as The Medicine Shoppe
Authorized official Karagezyan, Arthur
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
Last updated Apr 30th, 2018 - about 8 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 1710992367 NPPES
Other 2122599 PK
MEDICAID 2029339 PK
Other 05-64624 PK
Other PHY51652 PK

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