Model Drug Store

LBN: Model Drug Store
Model Drug Store is an health care organization with primary practice located at 35 W 8Th St , Holland MI 49423-3102. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Model Drug Store can be contacted via phone (616) 392-4707, or through Fisher, Sharon Beth via phone (616) 392-4707.

Contact Information

Primary practice address
35 W 8Th St Holland MI 49423-3102
Phone: (616) 392-4707
Fax: (616) 392-2449
Website:
Map and Directions
Authorized official contact:
Name: Fisher, Sharon Beth RPH
Phone: (616) 392-4707

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 5301002043 Michigan

Profile Details

NPI number 1770595670
LBN Legal business name Model Drug Store
DBA Doing business as
Authorized official Fisher, Sharon Beth RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 12th, 2006
Last updated Mar 24th, 2009 - about 17 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 1770595670 NPPES
Michigan MEDICAID 1697599
Michigan Other 2306303

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