Medicine Shop Pharmacy

LBN: Bertoncino Enterprises Inc
Medicine Shop Pharmacy is an health care organization with primary practice located at 1107 S Madison St Ste A Ste A, Webb City MO 64870-2831. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Bertoncino Enterprises Inc can be contacted via phone (417) 673-4909, or through Bertoncino, Dominick J via phone (417) 673-4909.

Contact Information

Primary practice address
1107 S Madison St Ste A Ste A Webb City MO 64870-2831
Fax: (417) 673-5697
Website:
Authorized official contact:
Name: Bertoncino, Dominick J RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 006106 Missouri
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1326132739
LBN Legal business name Bertoncino Enterprises Inc
DBA Doing business as Medicine Shop Pharmacy
Authorized official Bertoncino, Dominick J RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2006
Last updated Jun 18th, 2008 - about 16 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 1326132739 NPPES
Other 2631100 OTHER ID NUMBER-COMMERCIAL NUMBER

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