Medicine Shoppe 0605,Ltd

LBN: Eastside Pharmacy Associates, Ltd
Medicine Shoppe 0605,Ltd is an health care organization with primary practice located at 4502 Monona Dr , Monona WI 53716-1051. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Eastside Pharmacy Associates, Ltd can be contacted via phone (608) 221-8151, or through Hewitt, Eric C via phone (608) 221-8151.

Contact Information

Primary practice address
4502 Monona Dr Monona WI 53716-1051
Phone: (608) 221-8151
Fax: (608) 221-4682
Website:
Map and Directions
Authorized official contact:
Name: Hewitt, Eric C PHARMD.
Phone: (608) 221-8151

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 8942-042 Wisconsin

Profile Details

NPI number 1841302767
LBN Legal business name Eastside Pharmacy Associates, Ltd
DBA Doing business as Medicine Shoppe 0605,Ltd
Authorized official Hewitt, Eric C PHARMD.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1841302767 NPPES
Other 5117014 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 33046300 OTHER ID NUMBER-COMMERCIAL NUMBER

Popular Providers