Medicine Shoppe

LBN: Medicine Shoppe 917
Medicine Shoppe is an health care organization with primary practice located at 3507 W Walnut Ave , Visalia CA 93277-4170. 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 917 can be contacted via phone (559) 625-5015, or through Kwok, Peter K via phone (559) 625-5015.

Contact Information

Primary practice address
3507 W Walnut Ave Visalia CA 93277-4170
Phone: (559) 625-5015
Fax: (559) 625-1987
Website:
Map and Directions
Authorized official contact:
Name: Kwok, Peter K
Phone: (559) 625-5015

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PHY40626 California
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1023120953
LBN Legal business name Medicine Shoppe 917
DBA Doing business as Medicine Shoppe
Authorized official Kwok, Peter K
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 1023120953 NPPES
Other 0593497 NCPDP #
MEDICAID PHA406260 NCPDP #
Other 0593497 NCPDP #

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