Medicine Shoppe

LBN: Keith A Shelton
Medicine Shoppe is an health care organization with primary practice located at 200 N 10Th St , Poplar Bluff MO 63901-4856. 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. Keith A Shelton can be contacted via phone (573) 686-7216, or through Shelton, Keith A via phone (573) 686-7216.

Contact Information

Primary practice address
200 N 10Th St Poplar Bluff MO 63901-4856
Phone: (573) 686-7216
Fax: (573) 686-7217
Website:
Map and Directions
Authorized official contact:
Name: Shelton, Keith A RPH
Phone: (573) 686-7216

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X Missouri
Suppliers / Pharmacy 333600000X 004034 Missouri
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1508950916
LBN Legal business name Keith A Shelton
DBA Doing business as Medicine Shoppe
Authorized official Shelton, Keith A RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508950916 NPPES
Missouri MEDICAID 621708502
Missouri MEDICAID 601708506
Missouri Other 2619231

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