Medicine Shoppe

LBN: Stan Buczko Rph
Medicine Shoppe is an health care organization with primary practice located at 490 N Main St , Canton IL 61520-1828. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Stan Buczko Rph can be contacted via phone (309) 647-1717, or through Buczko, Stan via phone (309) 647-1717.

Contact Information

Primary practice address
490 N Main St Canton IL 61520-1828
Phone: (309) 647-1717
Fax: (309) 647-1734
Website:
Map and Directions
Authorized official contact:
Name: Buczko, Stan RPH
Phone: (309) 647-1717

Health care specialties

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

Profile Details

NPI number 1780756569
LBN Legal business name Stan Buczko Rph
DBA Doing business as Medicine Shoppe
Authorized official Buczko, Stan RPH
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 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 1780756569 NPPES
Other 1448857 OTHER ID NUMBER-COMMERCIAL NUMBER

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