The Medicine Shoppe

LBN: Pharm Nacogdoches Acquisition Llc
The Medicine Shoppe is an health care organization with primary practice located at 212 North St Ste B, Nacogdoches TX 75961. 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. Pharm Nacogdoches Acquisition Llc can be contacted via phone (817) 442-0484, or through Finn, Matthew via phone (817) 442-0484.

Contact Information

Primary practice address
212 North St Ste B Nacogdoches TX 75961
Phone: (817) 442-0484
Fax: (817) 977-5086
Website:
Map and Directions
Authorized official contact:
Name: Finn, Matthew
Phone: (817) 442-0484

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 12958 Texas
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1124172572
LBN Legal business name Pharm Nacogdoches Acquisition Llc
DBA Doing business as The Medicine Shoppe
Authorized official Finn, Matthew
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2007
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 1124172572 NPPES
Louisiana MEDICAID 1275719
Louisiana MEDICAID 143380
Louisiana Other 4577613

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