The Medicinne Shoppe

LBN: Altoona Union Avenue Pharmacy
The Medicinne Shoppe is an health care organization with primary practice located at 2411 8Th Ave , Altoona PA 16602-2105. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Altoona Union Avenue Pharmacy can be contacted via phone (814) 944-2095, or through Earnest, William Edward via phone (814) 944-2095.

Contact Information

Primary practice address
2411 8Th Ave Altoona PA 16602-2105
Phone: (814) 944-2095
Fax: (814) 949-9575
Website:
Map and Directions
Authorized official contact:
Name: Earnest, William Edward RPH
Phone: (814) 944-2095

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PP410789L Pennsylvania

Profile Details

NPI number 1811084031
LBN Legal business name Altoona Union Avenue Pharmacy
DBA Doing business as The Medicinne Shoppe
Authorized official Earnest, William Edward RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 9th, 2006
Last updated Mar 7th, 2023 - about last year

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 1811084031 NPPES
Pennsylvania Other 3944623 NCPDP #
Pennsylvania MEDICAID 0009967710002 NCPDP #

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