Medicine Shoppe
LBN: Hollywood Pharmacy Inc
Medicine Shoppe is an health care organization with primary practice located at 1890 Capitol St Ne , Salem OR 97301-7859. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Hollywood Pharmacy Inc can be contacted via phone (503) 364-4436, or through Kasprzyk, Robert via phone (503) 364-4436.
Contact Information
Primary practice address
1890 Capitol St Ne
Salem OR 97301-7859
Phone: (503) 364-4436
Fax: (503) 364-5103
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 00526 | Oregon |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1982772786 |
|---|---|
| LBN Legal business name | Hollywood Pharmacy Inc |
| DBA Doing business as | Medicine Shoppe |
| Authorized official | Kasprzyk, Robert RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 1st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982772786 | NPPES |
| Oregon | MEDICAID | 131177 | |
| Oregon | MEDICAID | 230545 | |
| Oregon | Other | 3804627 | |
| Oregon | Other | 292935 |
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