Medical Shoppe Ltd

LBN: Medical Shoppe Ltd
Medical Shoppe Ltd is an health care organization with primary practice located at 1103 Main St. , Honesdale PA 18431. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Medical Shoppe Ltd can be contacted via phone (570) 253-7700, or through Stephens, Judith A. via phone (570) 253-7700.

Contact Information

Primary practice address
1103 Main St. Honesdale PA 18431
Fax: (570) 253-7361
Website:
Authorized official contact:
Name: Stephens, Judith A. Registered Nurse (RN)

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X PP481095 Pennsylvania

Profile Details

NPI number 1578562708
LBN Legal business name Medical Shoppe Ltd
DBA Doing business as
Authorized official Stephens, Judith A. Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2005
Last updated Aug 24th, 2007 - about 18 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 1578562708 NPPES
Pennsylvania MEDICAID 1007436710005

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