Medicine Shoppe

LBN: Saint-Mark Enterprises 106 Llc
Medicine Shoppe is an health care organization with primary practice located at 207 Professional Way , Shelton WA 98584-4404. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Saint-Mark Enterprises 106 Llc can be contacted via phone (360) 426-4272, or through Miller, Mark A via phone (314) 518-2427.

Contact Information

Primary practice address
207 Professional Way Shelton WA 98584-4404
Phone: (360) 426-4272
Fax: (360) 426-6977
Website:
Map and Directions
Authorized official contact:
Name: Miller, Mark A
Phone: (314) 518-2427

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1417197567
LBN Legal business name Saint-Mark Enterprises 106 Llc
DBA Doing business as Medicine Shoppe
Authorized official Miller, Mark A
Entity Organization
Organization subpart 1 No
Enumeration date Mar 3rd, 2009
Last updated Jun 30th, 2009 - about 15 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 1417197567 NPPES
Washington MEDICAID 6032221

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