Medicine Shoppe

LBN: Grace Wang
Medicine Shoppe is an health care organization with primary practice located at 2241 Michael Dr , Newbury Park CA 91320-3340. 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. Grace Wang can be contacted via phone (805) 375-6650, or through Wang, Grace via phone (805) 375-6650.

Contact Information

Primary practice address
2241 Michael Dr Newbury Park CA 91320-3340
Phone: (805) 375-6650
Fax: (805) 375-6654
Website:
Map and Directions
Authorized official contact:
Name: Wang, Grace RPH
Phone: (805) 375-6650

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PHY41868 California
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1558426973
LBN Legal business name Grace Wang
DBA Doing business as Medicine Shoppe
Authorized official Wang, Grace RPH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 26th, 2006
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 1558426973 NPPES
Other 0544836 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID PHY418680 OTHER ID NUMBER-COMMERCIAL NUMBER

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