Medicine Shoppe

LBN: Mountain Rx Llc
Medicine Shoppe is an health care organization with primary practice located at 3324 Williamson Rd Nw , Roanoke VA 24012-4058. 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. Mountain Rx Llc can be contacted via phone (540) 777-7500, or through Fleming, William David via phone (540) 777-7500.

Contact Information

Primary practice address
3324 Williamson Rd Nw Roanoke VA 24012-4058
Phone: (540) 777-7500
Fax: (540) 777-7504
Website:
Map and Directions
Authorized official contact:
Name: Fleming, William David RPH
Phone: (540) 777-7500

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 0201003650 Virginia
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1124130034
LBN Legal business name Mountain Rx Llc
DBA Doing business as Medicine Shoppe
Authorized official Fleming, William David 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 1124130034 NPPES
Virginia Other 4834431 NCPDP #
Virginia Other 4834431 NCPDP #
Virginia MEDICAID 8519111 NCPDP #

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