The Medicine Shoppe

LBN: Mt Vernon Community Pharmacy Inc
The Medicine Shoppe is an health care organization with primary practice located at 2339 Broadway St , Mount Vernon IL 62864-2925. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Mt Vernon Community Pharmacy Inc can be contacted via phone (618) 242-8776, or through Black, Eric via phone (618) 242-8776.

Contact Information

Primary practice address
2339 Broadway St Mount Vernon IL 62864-2925
Phone: (618) 242-8776
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Black, Eric
Phone: (618) 242-8776

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 054016737 Illinois

Profile Details

NPI number 1417923012
LBN Legal business name Mt Vernon Community Pharmacy Inc
DBA Doing business as The Medicine Shoppe
Authorized official Black, Eric
Entity Organization
Organization subpart 1 No
Enumeration date Feb 24th, 2006
Last updated Nov 1st, 2011 - about 13 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 1417923012 NPPES
Other 334555 HEALTHLINK
Other 4132021 HEALTHLINK
Other 1447792 HEALTHLINK

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