Medicine Shoppe

LBN: Poulter Enterprises Inc
Medicine Shoppe is an health care organization with primary practice located at 1624 Puente Ave , Baldwin Park CA 91706-5952. 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. Poulter Enterprises Inc can be contacted via phone (626) 960-4774, or through Ferman, Dena via phone (314) 993-6000.

Contact Information

Primary practice address
1624 Puente Ave Baldwin Park CA 91706-5952
Phone: (626) 960-4774
Fax: (626) 960-4775
Website:
Map and Directions
Authorized official contact:
Name: Ferman, Dena
Phone: (314) 993-6000

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PHY22183 California
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1386738789
LBN Legal business name Poulter Enterprises Inc
DBA Doing business as Medicine Shoppe
Authorized official Ferman, Dena
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 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 1386738789 NPPES
California MEDICAID PHA 221830
California Other 0566577

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