East Side Prescription Center Inc
LBN: East Side Prescription Center Inc
East Side Prescription Center Inc is an health care organization with primary practice located at 632 Hope St , Providence RI 02906-2658. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
East Side Prescription Center Inc can be contacted via phone (401) 751-1430, or through Backer, Richard E via phone (401) 751-1430.
Contact Information
Primary practice address
632 Hope St
Providence RI 02906-2658
Phone: (401) 751-1430
Fax: (401) 454-8096
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ES04467 | Rhode Island |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 209 | Rhode Island |
Profile Details
| NPI number | 1194760470 |
|---|---|
| LBN Legal business name | East Side Prescription Center Inc |
| DBA Doing business as | |
| Authorized official | Backer, Richard E R.PH. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 19th, 2006 |
| Last updated | Jan 20th, 2009 - about 15 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 | 1194760470 | NPPES |
| Rhode Island | MEDICAID | ES04467 | |
| Rhode Island | Other | 4102961 | |
| Rhode Island | MEDICAID | 9010209 |
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