Northside Pharmacy
LBN: Northside Pharmacy Inc
Northside Pharmacy is an health care organization with primary practice located at 707 N Bridge St , Elkton MD 21921-5314. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Northside Pharmacy Inc can be contacted via phone (410) 398-3784, or through Ayres, David via phone (410) 398-3784.
Contact Information
Primary practice address
707 N Bridge St
Elkton MD 21921-5314
Phone: (410) 398-3784
Fax: (410) 398-3306
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | P06260 | Maryland |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1871737304 |
|---|---|
| LBN Legal business name | Northside Pharmacy Inc |
| DBA Doing business as | Northside Pharmacy |
| Authorized official | Ayres, David RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 28th, 2009 |
| Last updated | Dec 1st, 2016 - about 8 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 | 1871737304 | NPPES |
| Maryland | MEDICAID | 021969000 | |
| Maryland | Other | 2119888 |
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