The Medicine Shoppe Pharmacy
LBN: John R Slagle
The Medicine Shoppe Pharmacy is an health care organization with primary practice located at 100 Liberty St , Clarion PA 16214-1808. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
John R Slagle can be contacted via phone (814) 226-9310, or through Slagle, John via phone (814) 226-9310.
Contact Information
Primary practice address
100 Liberty St
Clarion PA 16214-1808
Phone: (814) 226-9310
Fax: (814) 226-9329
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PP414620L | Pennsylvania |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1679565741 |
|---|---|
| LBN Legal business name | John R Slagle |
| DBA Doing business as | The Medicine Shoppe Pharmacy |
| Authorized official | Slagle, John RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 16th, 2005 |
| Last updated | Jul 19th, 2018 - about 6 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 | 1679565741 | NPPES |
| Pennsylvania | MEDICAID | 1007724210005 | |
| Pennsylvania | Other | 2122663 |
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