Medicine Shoppe

LBN: Northern Adventures Inc.
Medicine Shoppe is an health care organization with primary practice located at 629 State St , Meadville PA 16335-2262. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Northern Adventures Inc. can be contacted via phone (814) 337-8880, or through Haylett, Kevin James via phone 814337888025.

Contact Information

Primary practice address
629 State St Meadville PA 16335-2262
Fax: (814) 333-4197
Website:
Authorized official contact:
Name: Haylett, Kevin James R.PH.

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PP413389L Pennsylvania

Profile Details

NPI number 1487687653
LBN Legal business name Northern Adventures Inc.
DBA Doing business as Medicine Shoppe
Authorized official Haylett, Kevin James R.PH.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487687653 NPPES
Pennsylvania MEDICAID 1022544990001
Pennsylvania Other 3935650

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