Medicine Shoppe

LBN: Ms Mgc Inc
Medicine Shoppe is an health care organization with primary practice located at 635 S Sturgeon St , Montgomery City MO 63361-2707. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Ms Mgc Inc can be contacted via phone (573) 564-1111, or through Wang, Jason Alexander via phone (573) 564-1111.

Contact Information

Primary practice address
635 S Sturgeon St Montgomery City MO 63361-2707
Fax: (573) 564-2828
Website:
Authorized official contact:
Name: Wang, Jason Alexander PHARMD

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1326150327
LBN Legal business name Ms Mgc Inc
DBA Doing business as Medicine Shoppe
Authorized official Wang, Jason Alexander PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Jun 10th, 2024 - about 3 months 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 1326150327 NPPES
Other 2633041 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 604842302 OTHER ID NUMBER-COMMERCIAL NUMBER

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