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
Fax: (870) 850-6318
Website:
Authorized official contact:
Name: Rosen, Robert A PD

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083600910 NPPES
Arkansas MEDICAID 100-103-407
Arkansas MEDICAID 140255716

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