Medicine Shoppe Deland
LBN: Shivoam Llc
Medicine Shoppe Deland is an health care organization with primary practice located at 319 S Woodland Blvd , Deland FL 32720. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Shivoam Llc can be contacted via phone (386) 734-3383, or through Shah, Hardik G via phone (352) 272-5944.
Contact Information
Primary practice address
319 S Woodland Blvd
Deland FL 32720
Phone: (386) 734-3383
Fax: (386) 734-3384
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | PH11083 | Florida |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PH11083 | Florida |
| Suppliers / Compounding Pharmacy | 3336C0004X | PH11083 | Florida |
Profile Details
| NPI number | 1134194202 |
|---|---|
| LBN Legal business name | Shivoam Llc |
| DBA Doing business as | Medicine Shoppe Deland |
| Authorized official | Shah, Hardik G |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 21st, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134194202 | NPPES |
| Other | 1064512 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | 109020800 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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