The Medicine Shoppe
LBN: Husak Holdings Jtl, Inc
The Medicine Shoppe is an health care organization with primary practice located at 145 E 9Th St , Berwick PA 18603-3132. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Husak Holdings Jtl, Inc can be contacted via phone (570) 759-1239, or through Popko, Lisa H via phone (570) 759-1239.
Contact Information
Primary practice address
145 E 9Th St
Berwick PA 18603-3132
Phone: (570) 759-1239
Fax: (570) 759-1230
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | PP410850L | Pennsylvania |
| Suppliers / Clinic Pharmacy | 3336C0002X | RPI000634 | Pennsylvania |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PP410850L | Pennsylvania |
| Suppliers / Prosthetic/Orthotic Supplier | 335E00000X | PP4108501 | Pennsylvania |
Profile Details
| NPI number | 1992770747 |
|---|---|
| LBN Legal business name | Husak Holdings Jtl, Inc |
| DBA Doing business as | The Medicine Shoppe |
| Authorized official | Popko, Lisa H R.PH. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 22nd, 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 | 1992770747 | NPPES |
| Pennsylvania | Other | 3937767 | NCPDP # |
| Pennsylvania | MEDICAID | 0073970160002 | NCPDP # |
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