Organization
BADGER HEALTH CORP
Active
Other names
The Medicine Shoppe Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK SCHEELS (SECRETARY/OWNER)
(303) 898-7183
Entity
Organization
Contact information
Practice address
1275 S 2ND ST STE A, RATON, NM 87740-2209
(575) 445-0075
(575) 445-0081
Mailing address
1275 S 2ND ST STE A, RATON, NM 87740-2209
(575) 445-0075
(575) 445-0081
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
PH00003416
NM
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2137565
PK
—
05
—
69856745
—
NM
Enumeration date
06/18/2012
Last updated
07/05/2016
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