Medicine Shoppe Pharmacy

LBN: Mlm Pharmacy, Inc.
Medicine Shoppe Pharmacy is an health care organization with primary practice located at 215 N Broadway Ave , Salem IL 62881-1511. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Oxygen Equipment & Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Mlm Pharmacy, Inc. can be contacted via phone (618) 548-0070, or through Morton, Michael via phone (618) 548-0070.

Contact Information

Primary practice address
215 N Broadway Ave Salem IL 62881-1511
Phone: (618) 548-0070
Fax: (618) 548-9846
Website:
Map and Directions
Authorized official contact:
Name: Morton, Michael
Phone: (618) 548-0070

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X Illinois
Suppliers / Parenteral & Enteral Nutrition 332BP3500X Illinois
Suppliers / Oxygen Equipment & Supplies 332BX2000X Illinois
Suppliers / Community/Retail Pharmacy 3336C0003X 054014788 Illinois

Profile Details

NPI number 1285728691
LBN Legal business name Mlm Pharmacy, Inc.
DBA Doing business as Medicine Shoppe Pharmacy
Authorized official Morton, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 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 1285728691 NPPES
Other 1448530 OTHER ID NUMBER-COMMERCIAL NUMBER

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