The Medicine Shoppe

LBN: Momba Pharmacy Services Llc
The Medicine Shoppe is an health care organization with primary practice located at 1234 W Main St , Monongahela PA 15063-2830. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Momba Pharmacy Services Llc can be contacted via phone (724) 258-5055, or through Morgan, Matthew via phone (614) 652-1509.

Contact Information

Primary practice address
1234 W Main St Monongahela PA 15063-2830
Phone: (724) 258-5055
Fax: (724) 258-7806
Website:
Map and Directions
Authorized official contact:
Name: Morgan, Matthew
Phone: (614) 652-1509

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PP414165L Pennsylvania

Profile Details

NPI number 1275801458
LBN Legal business name Momba Pharmacy Services Llc
DBA Doing business as The Medicine Shoppe
Authorized official Morgan, Matthew
Entity Organization
Organization subpart 1 No
Enumeration date Dec 2nd, 2011
Last updated Jun 27th, 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 1275801458 NPPES
Other 3996432 NCPDP PROVIDER IDENTIFICATION NUMBER

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