The Medicine Shoppe

LBN: Michael J Brislin
The Medicine Shoppe is an health care organization with primary practice located at 953 Prescott Ave , Scranton PA 18510-1411. 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. Michael J Brislin can be contacted via phone (570) 346-2935, or through Brislin, Michael via phone (570) 346-2935.

Contact Information

Primary practice address
953 Prescott Ave Scranton PA 18510-1411
Phone: (570) 346-2935
Fax: (570) 207-4767
Website:
Map and Directions
Authorized official contact:
Name: Brislin, Michael RPH
Phone: (570) 346-2935

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PP413264L Pennsylvania
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1609948496
LBN Legal business name Michael J Brislin
DBA Doing business as The Medicine Shoppe
Authorized official Brislin, Michael RPH
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 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 1609948496 NPPES
Pennsylvania MEDICAID 0008873920002
Pennsylvania Other 3945079

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