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 75961-5260. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Pharm Nacogdoches Acquisition Llc can be contacted via phone (936) 462-9101, or through Finn, Matthew via phone (469) 261-3048.

Contact Information

Primary practice address
212 North St Ste B Nacogdoches TX 75961-5260
Phone: (936) 462-9101
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Finn, Matthew
Phone: (469) 261-3048

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 30632 Texas

Profile Details

NPI number 1689109902
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 Apr 24th, 2017
Last updated Jun 29th, 2021 - about 4 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 1689109902 NPPES
Texas MEDICAID 14380

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