Medicine Shoppe

LBN: Cahokia Pharmacy Inc
Medicine Shoppe is an health care organization with primary practice located at 817 Upper Cahokia Rd , Cahokia IL 62206-1211. 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. Cahokia Pharmacy Inc can be contacted via phone (618) 332-1028, or through Bertucci, Enrico via phone (618) 332-1028.

Contact Information

Primary practice address
817 Upper Cahokia Rd Cahokia IL 62206-1211
Phone: (618) 332-1028
Fax: (618) 332-7028
Website:
Map and Directions
Authorized official contact:
Name: Bertucci, Enrico RPH
Phone: (618) 332-1028

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 054009531 Illinois
Suppliers / Pharmacy 333600000X 054009531 Illinois
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1396871794
LBN Legal business name Cahokia Pharmacy Inc
DBA Doing business as Medicine Shoppe
Authorized official Bertucci, Enrico RPH
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2007
Last updated Mar 7th, 2023 - about 2 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 1396871794 NPPES
Other 1456676 OTHER ID NUMBER-COMMERCIAL NUMBER

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