Medicine Shoppe

LBN: Titusville Ms Llc
Medicine Shoppe is an health care organization with primary practice located at 329 W Central Ave , Titusville PA 16354-1642. 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. Titusville Ms Llc can be contacted via phone (814) 827-1849, or through Derrick, Edward M via phone (814) 827-1849.

Contact Information

Primary practice address
329 W Central Ave Titusville PA 16354-1642
Fax: (814) 827-0220
Website:
Authorized official contact:
Name: Derrick, Edward M

Health care specialties

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

Profile Details

NPI number 1265615603
LBN Legal business name Titusville Ms Llc
DBA Doing business as Medicine Shoppe
Authorized official Derrick, Edward M
Entity Organization
Organization subpart 1 No
Enumeration date Dec 7th, 2007
Last updated Mar 7th, 2023 - about 2 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 1265615603 NPPES
Pennsylvania MEDICAID 1020774380001
Pennsylvania Other 3989487

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