The Medicine Shoppe

LBN: Crm-Canandaigua Llc
The Medicine Shoppe is an health care organization with primary practice located at 75 Victor Heights Pkwy Ste C , Victor NY 14564-8926. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Crm-Canandaigua Llc can be contacted via phone (585) 337-4300, or through Hetrick, Jeff via phone (585) 337-4300.

Contact Information

Primary practice address
75 Victor Heights Pkwy Ste C Victor NY 14564-8926
Phone: (585) 337-4300
Fax: (585) 396-7264
Website:
Map and Directions
Authorized official contact:
Name: Hetrick, Jeff
Phone: (585) 337-4300

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1134751688
LBN Legal business name Crm-Canandaigua Llc
DBA Doing business as The Medicine Shoppe
Authorized official Hetrick, Jeff
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2020
Last updated Jan 27th, 2021 - about 3 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 1134751688 NPPES
New York MEDICAID 03467627

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