The Apothecary Shoppe W Salem

LBN: Apothecary Shoppe Of West Salem Inc
The Apothecary Shoppe W Salem is an health care organization with primary practice located at 108 S Main St , West Salem IL 62476-1202. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Apothecary Shoppe Of West Salem Inc can be contacted via phone (618) 456-3716, or through Griffith, Kimberley via phone (618) 456-3716.

Contact Information

Primary practice address
108 S Main St West Salem IL 62476-1202
Phone: (618) 456-3716
Fax: (618) 456-2029
Website:
Map and Directions
Authorized official contact:
Name: Griffith, Kimberley RPH
Phone: (618) 456-3716

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 054008438 Illinois

Profile Details

NPI number 1093809402
LBN Legal business name Apothecary Shoppe Of West Salem Inc
DBA Doing business as The Apothecary Shoppe W Salem
Authorized official Griffith, Kimberley RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2006
Last updated Jun 10th, 2015 - about 9 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 1093809402 NPPES
Other 2018508 PK

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