The Medicine Shoppe Pharmacy
LBN: Badger Health Corp
The Medicine Shoppe Pharmacy is an health care organization with primary practice located at 1275 S 2Nd St Ste A , Raton NM 87740-2209. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Badger Health Corp can be contacted via phone (575) 445-0075, or through Scheels, Patrick via phone (303) 898-7183.
Contact Information
Primary practice address
1275 S 2Nd St Ste A
Raton NM 87740-2209
Phone: (575) 445-0075
Fax: (575) 445-0081
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
Suppliers / Pharmacy | 333600000X | PH00003416 | New Mexico |
Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
Suppliers / Compounding Pharmacy | 3336C0004X | ||
Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
NPI number | 1902169816 |
---|---|
LBN Legal business name | Badger Health Corp |
DBA Doing business as | The Medicine Shoppe Pharmacy |
Authorized official | Scheels, Patrick |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jun 18th, 2012 |
Last updated | Jul 5th, 2016 - about 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1902169816 | NPPES |
Other | 2137565 | PK | |
MEDICAID | 69856745 | PK |
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