Diabetes Shoppe
LBN: Reed Drug Store Inc
Diabetes Shoppe is an health care organization with primary practice located at 201 S Main St , Pine Bluff AR 71601-4321. The organization recently has 3 registered licenses in different health care specialties including Laboratories / Clinical Medical Laboratory, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment. Suppliers / Customized Equipment is the primary health care specialty.
Reed Drug Store Inc can be contacted via phone (870) 534-8351, or through Rosen, Robert A via phone (870) 534-8351.
Contact Information
Primary practice address
201 S Main St
Pine Bluff AR 71601-4321
Phone: (870) 534-8351
Fax: (870) 850-6318
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Laboratories / Clinical Medical Laboratory | 291U00000X | 04D0983574 CLIA | Arkansas |
Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 100103407 | Arkansas |
Suppliers / Customized Equipment | 332BC3200X | 140255716 | Arkansas |
Profile Details
NPI number | 1083600910 |
---|---|
LBN Legal business name | Reed Drug Store Inc |
DBA Doing business as | Diabetes Shoppe |
Authorized official | Rosen, Robert A PD |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Sep 26th, 2005 |
Last updated | Apr 7th, 2010 - about 14 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1083600910 | NPPES |
Arkansas | MEDICAID | 100-103-407 | |
Arkansas | MEDICAID | 140255716 |
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