Shields Family Pharmacy

LBN: Principia Health & Wellness Pharmacy Inc
Shields Family Pharmacy is an health care organization with primary practice located at 1 Professional Dr Ste 170 , Alton IL 62002-5069. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Principia Health & Wellness Pharmacy Inc can be contacted via phone (618) 463-0000, or through Anato, Seth K via phone (314) 517-9035.

Contact Information

Primary practice address
1 Professional Dr Ste 170 Alton IL 62002-5069
Fax: (618) 463-0008
Website:
Authorized official contact:
Name: Anato, Seth K PHARMD

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 054018838 Illinois

Profile Details

NPI number 1982001996
LBN Legal business name Principia Health & Wellness Pharmacy Inc
DBA Doing business as Shields Family Pharmacy
Authorized official Anato, Seth K PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Nov 20th, 2014
Last updated Jul 21st, 2022 - about 2 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 1982001996 NPPES
Other 2148900 PK

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