Medicine Shoppe

LBN: Medicine Shoppe
Medicine Shoppe is an health care organization with primary practice located at 702 S Del Mar Ave , San Gabriel CA 91776-2440. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Medicine Shoppe can be contacted via phone (626) 285-2206, or through Hill, Theodore via phone (626) 285-2206.

Contact Information

Primary practice address
702 S Del Mar Ave San Gabriel CA 91776-2440
Phone: (626) 285-2206
Fax: (626) 285-6745
Website:
Map and Directions
Authorized official contact:
Name: Hill, Theodore RPH
Phone: (626) 285-2206

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PHY360660 California
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1538271523
LBN Legal business name Medicine Shoppe
DBA Doing business as
Authorized official Hill, Theodore RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Mar 7th, 2023 - about last year

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 1538271523 NPPES
Other 0500086 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID PHA360660 OTHER ID NUMBER-COMMERCIAL NUMBER

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