Shelton Pharmacy

LBN: Shelton Pharmacy
Shelton Pharmacy is an health care organization with primary practice located at 1525 Wayne Ave , Dayton OH 45410-1707. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Shelton Pharmacy can be contacted via phone (937) 253-4108, or through Shelton, Jonathan via phone (937) 253-4108.

Contact Information

Primary practice address
1525 Wayne Ave Dayton OH 45410-1707
Phone: (937) 253-4108
Fax: (937) 253-8662
Website:
Map and Directions
Authorized official contact:
Name: Shelton, Jonathan
Phone: (937) 253-4108

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X Ohio
Suppliers / Pharmacy 333600000X Ohio
Suppliers / Prosthetic/Orthotic Supplier 335E00000X Ohio

Profile Details

NPI number 1265544274
LBN Legal business name Shelton Pharmacy
DBA Doing business as
Authorized official Shelton, Jonathan
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Dec 12th, 2007 - about 18 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 1265544274 NPPES
Other 3604041 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 8017916 OTHER ID NUMBER-COMMERCIAL NUMBER

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