Eastland Apothecary Shoppe

LBN: The Apothecary Shoppe Pharmacies, Llc
Eastland Apothecary Shoppe is an health care organization with primary practice located at 1217 E Front St , Traverse City MI 49686-2928. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. The Apothecary Shoppe Pharmacies, Llc can be contacted via phone (231) 947-9825, or through Pach, Gary via phone (800) 313-3677.

Contact Information

Primary practice address
1217 E Front St Traverse City MI 49686-2928
Fax: (231) 947-3102
Website:
Authorized official contact:
Name: Pach, Gary

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 5301008204 Michigan

Profile Details

NPI number 1518047224
LBN Legal business name The Apothecary Shoppe Pharmacies, Llc
DBA Doing business as Eastland Apothecary Shoppe
Authorized official Pach, Gary
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2006
Last updated Mar 17th, 2009 - about 15 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 1518047224 NPPES
Michigan Other 2334857 NCPDP
Michigan MEDICAID 502334857 NCPDP
Michigan MEDICAID 875438844 NCPDP
Michigan Other 540B812050 NCPDP

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