The Medicine Shoppe Pharmacy
LBN: Srura Pharmacy Llc
The Medicine Shoppe Pharmacy is an health care organization with primary practice located at 69 N Market St , Nanticoke PA 18634-1553. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Srura Pharmacy Llc can be contacted via phone (570) 735-2300, or through Patel, Jaimin via phone (706) 331-5959.
Contact Information
Primary practice address
69 N Market St
Nanticoke PA 18634-1553
Phone: (570) 735-2300
Fax: (570) 258-2036
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PP412356L | Pennsylvania |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1104247022 |
|---|---|
| LBN Legal business name | Srura Pharmacy Llc |
| DBA Doing business as | The Medicine Shoppe Pharmacy |
| Authorized official | Patel, Jaimin |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 18th, 2013 |
| Last updated | Nov 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104247022 | NPPES |
| Pennsylvania | MEDICAID | 1029143750001 | |
| Pennsylvania | Other | 2145152 |
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