Medicine Shoppe

LBN: Saved By Grace Inc
Medicine Shoppe is an health care organization with primary practice located at 507 Hepburn St , Williamsport PA 17701-5004. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Saved By Grace Inc can be contacted via phone (570) 854-7669, or through Kaminski, Stephen via phone (570) 323-7733.

Contact Information

Primary practice address
507 Hepburn St Williamsport PA 17701-5004
Fax: (570) 323-9149
Website:
Authorized official contact:
Name: Kaminski, Stephen RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PP414026L Pennsylvania

Profile Details

NPI number 1154493948
LBN Legal business name Saved By Grace Inc
DBA Doing business as Medicine Shoppe
Authorized official Kaminski, Stephen RPH
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 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 1154493948 NPPES
Other 3955513 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 1015144950001 OTHER ID NUMBER-COMMERCIAL NUMBER

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