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
Fax: (636) 629-2082
Website:
Authorized official contact:
Name: Hinterlong, Martin

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821162280 NPPES
Other 2051500 PK
MEDICAID 602188203 PK

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