Medicine Shoppe

LBN: Whitworth Drug Inc.
Medicine Shoppe is an health care organization with primary practice located at 801 Broadway , Highland IL 62249-1801. 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. Whitworth Drug Inc. can be contacted via phone (618) 654-4446, or through Whitworth, Marty via phone (618) 654-4446.

Contact Information

Primary practice address
801 Broadway Highland IL 62249-1801
Phone: (618) 654-4446
Fax: (618) 654-3215
Website:
Map and Directions
Authorized official contact:
Name: Whitworth, Marty RPH
Phone: (618) 654-4446

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 05410079 Illinois
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1457445868
LBN Legal business name Whitworth Drug Inc.
DBA Doing business as Medicine Shoppe
Authorized official Whitworth, Marty RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 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 1457445868 NPPES
Other 1460245 OTHER ID NUMBER-COMMERCIAL NUMBER

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