The Medicine Shoppe

LBN: The Medicine Shoppe
The Medicine Shoppe is an health care organization with primary practice located at 1116 W Main St , Fairfield IL 62837-2324. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. The Medicine Shoppe can be contacted via phone (618) 842-6007, or through Potts, Ed via phone (618) 842-6007.

Contact Information

Primary practice address
1116 W Main St Fairfield IL 62837-2324
Phone: (618) 842-6007
Fax: (618) 842-4816
Website:
Map and Directions
Authorized official contact:
Name: Potts, Ed PHD
Phone: (618) 842-6007

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 203000745 Illinois

Profile Details

NPI number 1720231608
LBN Legal business name The Medicine Shoppe
DBA Doing business as
Authorized official Potts, Ed PHD
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2008
Last updated Oct 23rd, 2008 - about 18 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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