Medicine Stop Of River Forest

LBN: Medshop Inc
Medicine Stop Of River Forest is an health care organization with primary practice located at 7756 Madison St , River Forest IL 60305-2058. 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. Medshop Inc can be contacted via phone (708) 771-6363, or through Kukulski, Tom via phone (708) 771-6363.

Contact Information

Primary practice address
7756 Madison St River Forest IL 60305-2058
Phone: (708) 771-6363
Fax: (708) 771-6368
Website:
Map and Directions
Authorized official contact:
Name: Kukulski, Tom B.S.
Phone: (708) 771-6363

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 054008943 Illinois

Profile Details

NPI number 1689685224
LBN Legal business name Medshop Inc
DBA Doing business as Medicine Stop Of River Forest
Authorized official Kukulski, Tom B.S.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Mar 26th, 2009 - about 16 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 1689685224 NPPES
Other 1453137 NCPDP PROVIDER IDENTIFICATION NUMBER

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