The Medicine Shoppe

LBN: William C Kennedy
The Medicine Shoppe is an health care organization with primary practice located at 56 Mauch Chunk St , Tamaqua PA 18252-1405. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. William C Kennedy can be contacted via phone (570) 668-6366, or through Kennedy, William Charles via phone (570) 668-6366.

Contact Information

Primary practice address
56 Mauch Chunk St Tamaqua PA 18252-1405
Phone: (570) 668-6366
Fax: (570) 668-9019
Website:
Map and Directions
Authorized official contact:
Name: Kennedy, William Charles
Phone: (570) 668-6366

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PP410693L Pennsylvania

Profile Details

NPI number 1861419574
LBN Legal business name William C Kennedy
DBA Doing business as The Medicine Shoppe
Authorized official Kennedy, William Charles
Entity Organization
Organization subpart 1 No
Enumeration date Jul 17th, 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 1861419574 NPPES
Pennsylvania MEDICAID 1007450860002
Pennsylvania Other 3937046
Pennsylvania Other PP410693L

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