North Side Pharmacy

LBN: Northside Pharmacy Inc
North Side Pharmacy is an health care organization with primary practice located at 1160 E Saint Clair St , Vincennes IN 47591-4853. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Northside Pharmacy Inc can be contacted via phone (812) 882-1064, or through Palmer, Robert via phone (812) 882-1064.

Contact Information

Primary practice address
1160 E Saint Clair St Vincennes IN 47591-4853
Fax: (812) 882-4004
Website:
Authorized official contact:
Name: Palmer, Robert RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 60002352A Indiana
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1285738237
LBN Legal business name Northside Pharmacy Inc
DBA Doing business as North Side Pharmacy
Authorized official Palmer, Robert RPH
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Feb 7th, 2011 - about 13 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 1285738237 NPPES
Other 1514430 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 100177930A NCPDP PROVIDER IDENTIFICATION NUMBER

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