Medicine Shoppe Pharmacy

LBN: Vernon Andersen Inc
Medicine Shoppe Pharmacy is an health care organization with primary practice located at 341 W Bethalto Dr , Bethalto IL 62010-1779. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Vernon Andersen Inc can be contacted via phone (618) 377-5356, or through Andersen, Vernon Eugene via phone (618) 377-5356.

Contact Information

Primary practice address
341 W Bethalto Dr Bethalto IL 62010-1779
Phone: (618) 377-5356
Fax: (618) 377-0159
Website:
Map and Directions
Authorized official contact:
Name: Andersen, Vernon Eugene RPH
Phone: (618) 377-5356

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 054014647 Illinois
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1407867906
LBN Legal business name Vernon Andersen Inc
DBA Doing business as Medicine Shoppe Pharmacy
Authorized official Andersen, Vernon Eugene RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407867906 NPPES
Illinois MEDICAID 364151335001
Illinois Other 1467631

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