Dba The Medicine Shoppe #1189

LBN: S. Fountain'S Inc
Dba The Medicine Shoppe #1189 is an health care organization with primary practice located at 133 Newman St , East Tawas MI 48730. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. S. Fountain'S Inc can be contacted via phone (989) 362-7415, or through Fountain, Steven Mark via phone (989) 362-7415.

Contact Information

Primary practice address
133 Newman St East Tawas MI 48730
Phone: (989) 362-7415
Fax: (989) 362-0597
Website:
Map and Directions
Authorized official contact:
Name: Fountain, Steven Mark R.PH.
Phone: (989) 362-7415

Health care specialties

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

Profile Details

NPI number 1477520377
LBN Legal business name S. Fountain'S Inc
DBA Doing business as Dba The Medicine Shoppe #1189
Authorized official Fountain, Steven Mark R.PH.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 1st, 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 1477520377 NPPES
Michigan MEDICAID 2803829
Michigan MEDICAID 2803794
Michigan Other 2349517

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