The Medicine Shoppe

LBN: Decatur Apothecary
The Medicine Shoppe is an health care organization with primary practice located at 3055 Saint Andrews Dr , Duluth GA 30096-3584. 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. Decatur Apothecary can be contacted via phone (770) 813-8083, or through Cepero, Ramiro via phone (770) 813-8083.

Contact Information

Primary practice address
3055 Saint Andrews Dr Duluth GA 30096-3584
Phone: (770) 813-8083
Fax: (770) 813-9365
Website:
Map and Directions
Authorized official contact:
Name: Cepero, Ramiro PHD
Phone: (770) 813-8083

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 007765 Georgia

Profile Details

NPI number 1851403794
LBN Legal business name Decatur Apothecary
DBA Doing business as The Medicine Shoppe
Authorized official Cepero, Ramiro PHD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Aug 30th, 2011 - about 13 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 1851403794 NPPES
Georgia MEDICAID 00820168
Georgia Other 1128051

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