Medicine Shoppe

LBN: Cc Blue Inc
Medicine Shoppe is an health care organization with primary practice located at 1234 W Main St , Monongahela PA 15063-2830. 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. Cc Blue Inc can be contacted via phone (724) 258-5055, or through Ferman, Dena via phone (314) 993-6000.

Contact Information

Primary practice address
1234 W Main St Monongahela PA 15063-2830
Phone: (724) 258-5055
Fax: (724) 258-7806
Website:
Map and Directions
Authorized official contact:
Name: Ferman, Dena
Phone: (314) 993-6000

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PP414165L Pennsylvania

Profile Details

NPI number 1740325372
LBN Legal business name Cc Blue Inc
DBA Doing business as Medicine Shoppe
Authorized official Ferman, Dena
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2007
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 1740325372 NPPES
Other 3957719 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 0017521170001 OTHER ID NUMBER-COMMERCIAL NUMBER

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