The Medicine Shoppe
LBN: Vince'S Pharmacy Of Camillus Inc
The Medicine Shoppe is an health care organization with primary practice located at 240 Township Blvd Ste 30 , Camillus NY 13031-1793. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Vince'S Pharmacy Of Camillus Inc can be contacted via phone (315) 487-5775, or through Machen, Michael via phone (315) 487-5775.
Contact Information
Primary practice address
240 Township Blvd Ste 30
Camillus NY 13031-1793
Phone: (315) 487-5775
Fax: (315) 487-4423
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
Suppliers / Community/Retail Pharmacy | 3336C0003X | 018681 | New York |
Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
NPI number | 1114014164 |
---|---|
LBN Legal business name | Vince'S Pharmacy Of Camillus Inc |
DBA Doing business as | The Medicine Shoppe |
Authorized official | Machen, Michael PHARMD |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Oct 9th, 2006 |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1114014164 | NPPES |
New York | Other | 3384928 | NCPDP # |
New York | MEDICAID | 00905748 | NCPDP # |
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