Medicine Shoppe

LBN: Savage Pharmacy Inc
Medicine Shoppe is an health care organization with primary practice located at 200 W Morton Ave , Jacksonville IL 62650-2812. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Savage Pharmacy Inc can be contacted via phone (217) 245-1551, or through Savage, Charles via phone (217) 245-1551.

Contact Information

Primary practice address
200 W Morton Ave Jacksonville IL 62650-2812
Phone: (217) 245-1551
Fax: (217) 245-6825
Website:
Map and Directions
Authorized official contact:
Name: Savage, Charles RPH
Phone: (217) 245-1551

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 054014971 Illinois
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1376637785
LBN Legal business name Savage Pharmacy Inc
DBA Doing business as Medicine Shoppe
Authorized official Savage, Charles RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2006
Last updated Mar 7th, 2023 - 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 1376637785 NPPES
Other 1448364 OTHER ID NUMBER-COMMERCIAL NUMBER

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