The Prescription Shop Llc

LBN: Prescription Shop Llc
The Prescription Shop Llc is an health care organization with primary practice located at 1212 Johnson Ave , Bridgeport WV 26330-1354. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Prescription Shop Llc can be contacted via phone (304) 842-3763, or through Starkey, Adam Joseph via phone (304) 842-3763.

Contact Information

Primary practice address
1212 Johnson Ave Bridgeport WV 26330-1354
Phone: (304) 842-3763
Fax: (304) 842-7648
Website:
Map and Directions
Authorized official contact:
Name: Starkey, Adam Joseph RPH
Phone: (304) 842-3763

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X SP0552384 West Virginia

Profile Details

NPI number 1710908777
LBN Legal business name Prescription Shop Llc
DBA Doing business as The Prescription Shop Llc
Authorized official Starkey, Adam Joseph RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2006
Last updated Apr 5th, 2012 - about 12 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 1710908777 NPPES
Other 5001021 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 0142324000 NCPDP PROVIDER IDENTIFICATION NUMBER

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