Medicine Shoppe

LBN: Jan Douglass
Medicine Shoppe is an health care organization with primary practice located at 505 W University Ave Suite H, Georgetown TX 78626-6643. 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. Jan Douglass can be contacted via phone (512) 863-2297, or through Ferman, Dena via phone (314) 993-6000.

Contact Information

Primary practice address
505 W University Ave Suite H Georgetown TX 78626-6643
Phone: (512) 863-2297
Fax: (512) 863-2975
Website:
Map and Directions
Authorized official contact:
Name: Ferman, Dena
Phone: (314) 993-6000

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 20963 Texas
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1174659585
LBN Legal business name Jan Douglass
DBA Doing business as Medicine Shoppe
Authorized official Ferman, Dena
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174659585 NPPES
Texas MEDICAID 142947
Texas Other 4572283

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