Prescription Shoppe Llc

LBN: Prescription Shoppe Llc
Prescription Shoppe Llc is an health care organization with primary practice located at 2005 State St Ste B, Washington IN 47501-8505. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Prescription Shoppe Llc can be contacted via phone (812) 254-7666, or through Holland, Kenneth Ray via phone (812) 254-7666.

Contact Information

Primary practice address
2005 State St Ste B Washington IN 47501-8505
Phone: (812) 254-7666
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Holland, Kenneth Ray
Phone: (812) 254-7666

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 60003268A Indiana

Profile Details

NPI number 1134163256
LBN Legal business name Prescription Shoppe Llc
DBA Doing business as
Authorized official Holland, Kenneth Ray
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2006
Last updated May 11th, 2009 - about 16 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 1134163256 NPPES
Indiana MEDICAID 100089430A

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