The Medicine Shoppe
LBN: Magic Potion Inc
The Medicine Shoppe is an health care organization with primary practice located at 24602 Raymond Way Suite B, Lake Forest CA 92630-4461. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty.
Magic Potion Inc can be contacted via phone (949) 830-8500, or through Soskin, Gennady via phone (949) 830-8500.
Contact Information
Primary practice address
24602 Raymond Way Suite B
Lake Forest CA 92630-4461
Phone: (949) 830-8500
Fax: (949) 830-9884
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY47205 | California |
Profile Details
NPI number | 1912062332 |
---|---|
LBN Legal business name | Magic Potion Inc |
DBA Doing business as | The Medicine Shoppe |
Authorized official | Soskin, Gennady PHARM.D. |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Dec 26th, 2006 |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1912062332 | NPPES |
California | MEDICAID | PHA472050 | |
California | Other | 0528034 |
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