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
Phone: (812) 882-1064
Fax: (812) 882-4004
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1285738237 | NPPES |
Other | 1514430 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
MEDICAID | 100177930A | NCPDP PROVIDER IDENTIFICATION NUMBER |
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