The Medicine Shoppe Pharmacy
LBN: Kiko Enterprises, Llc
The Medicine Shoppe Pharmacy is an health care organization with primary practice located at 920 H St Clair Plaza Dr , St Clair MO 63077. 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.
Kiko Enterprises, Llc can be contacted via phone (636) 629-2022, or through Hinterlong, Martin via phone (636) 629-2022.
Contact Information
Primary practice address
920 H St Clair Plaza Dr
St Clair MO 63077
Phone: (636) 629-2022
Fax: (636) 629-2082
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Pharmacy | 333600000X | ||
Suppliers / Community/Retail Pharmacy | 3336C0003X | 005448 | Missouri |
Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
NPI number | 1821162280 |
---|---|
LBN Legal business name | Kiko Enterprises, Llc |
DBA Doing business as | The Medicine Shoppe Pharmacy |
Authorized official | Hinterlong, Martin |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Nov 20th, 2006 |
Last updated | Feb 23rd, 2017 - about 8 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 | 1821162280 | NPPES |
Other | 2051500 | PK | |
MEDICAID | 602188203 | PK |
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