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:
Map and Directions
Authorized official contact:
Name: Backer, Richard E R.PH.
Phone: (401) 751-1430

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194760470 NPPES
Rhode Island MEDICAID ES04467
Rhode Island Other 4102961
Rhode Island MEDICAID 9010209

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