Medi Shop Pharmacy
LBN: Medi Shop Pharmacy
Medi Shop Pharmacy is an health care organization with primary practice located at 204 Highway 71 S , Mena AR 71953-4638. 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.
Medi Shop Pharmacy can be contacted via phone (479) 394-3254, or through Geyer, Robert via phone (479) 394-7476.
Contact Information
Primary practice address
204 Highway 71 S
Mena AR 71953-4638
Phone: (479) 394-3254
Fax: (479) 394-0235
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | AR20383 | Arkansas |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1922375559 |
|---|---|
| LBN Legal business name | Medi Shop Pharmacy |
| DBA Doing business as | Medi Shop Pharmacy |
| Authorized official | Geyer, Robert PHARM.D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 28th, 2011 |
| Last updated | Mar 17th, 2017 - about 7 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 | 1922375559 | NPPES |
| Arkansas | MEDICAID | 190453407 | |
| Arkansas | Other | 2133056 |
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