Medicine Shoppe

LBN: Saint-Mark Enterprises 1883 Llc
Medicine Shoppe is an health care organization with primary practice located at 1701 Club Manor Dr Suite D, Maumelle AR 72113-7400. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Saint-Mark Enterprises 1883 Llc can be contacted via phone (501) 851-4949, or through Miller, Mark A via phone (314) 518-2427.

Contact Information

Primary practice address
1701 Club Manor Dr Suite D Maumelle AR 72113-7400
Phone: (501) 851-4949
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Miller, Mark A
Phone: (314) 518-2427

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1710124037
LBN Legal business name Saint-Mark Enterprises 1883 Llc
DBA Doing business as Medicine Shoppe
Authorized official Miller, Mark A
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2009
Last updated Jul 20th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1710124037 NPPES
Other 0423056 NCPDP #
MEDICAID 175879407 NCPDP #

Popular Providers