The Medicine Shoppe

LBN: Sky Pharma Corp
The Medicine Shoppe is an health care organization with primary practice located at 10237 Magnolia Ave , Riverside CA 92503-3440. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Sky Pharma Corp can be contacted via phone (951) 509-9277, or through Tadros, Michael via phone (951) 509-9277.

Contact Information

Primary practice address
10237 Magnolia Ave Riverside CA 92503-3440
Fax: (951) 509-9288
Website:
Authorized official contact:
Name: Tadros, Michael RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 51646 California
Suppliers / Compounding Pharmacy 3336C0004X 51646 California
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X 99865 California
Suppliers / Specialty Pharmacy 3336S0011X 51646 California

Profile Details

NPI number 1326476631
LBN Legal business name Sky Pharma Corp
DBA Doing business as The Medicine Shoppe
Authorized official Tadros, Michael RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2013
Last updated Dec 7th, 2016 - about 8 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 1326476631 NPPES
California MEDICAID PHA51646

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