Medicine Shoppe
LBN: Poulter Enterprises Inc
Medicine Shoppe is an health care organization with primary practice located at 1624 Puente Ave , Baldwin Park CA 91706-5952. 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.
Poulter Enterprises Inc can be contacted via phone (626) 960-4774, or through Ferman, Dena via phone (314) 993-6000.
Contact Information
Primary practice address
1624 Puente Ave
Baldwin Park CA 91706-5952
Phone: (626) 960-4774
Fax: (626) 960-4775
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Pharmacy | 333600000X | PHY22183 | California |
Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
NPI number | 1386738789 |
---|---|
LBN Legal business name | Poulter Enterprises Inc |
DBA Doing business as | Medicine Shoppe |
Authorized official | Ferman, Dena |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Oct 3rd, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1386738789 | NPPES |
California | MEDICAID | PHA 221830 | |
California | Other | 0566577 |
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