The Medicine Shoppe Pharmacy
LBN: Holistic Pharmacy Services Of Jacksonville Inc
The Medicine Shoppe Pharmacy is an health care organization with primary practice located at 200 W Morton Ave , Jacksonville IL 62650-2812. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Holistic Pharmacy Services Of Jacksonville Inc can be contacted via phone (217) 245-1551, or through Cole, Beaux via phone (217) 371-2925.
Contact Information
Primary practice address
200 W Morton Ave
Jacksonville IL 62650-2812
Phone: (217) 245-1551
Fax: (217) 245-6825
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 054018947 | Illinois |
Profile Details
| NPI number | 1942606132 |
|---|---|
| LBN Legal business name | Holistic Pharmacy Services Of Jacksonville Inc |
| DBA Doing business as | The Medicine Shoppe Pharmacy |
| Authorized official | Cole, Beaux |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 14th, 2014 |
| Last updated | Feb 21st, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942606132 | NPPES |
| Other | 2149933 | PK |
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